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Missouri rates for HCPCS 0626T

Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease, using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data, interpretation and report

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.98 / $104.41 / $137.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.27 / $68.65 / $109.30
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.61 / $50.13 / $88.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.27 / $93.71 / $166.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.33 / $118.67 / $463.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.05 / $105.11 / $185.74