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Montana 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
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.51 / $46.51 / $46.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.57 / $44.57 / $44.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.68 / $125.27 / $142.56