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North Carolina 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
$191.80 / $191.80 / $191.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.04 / $68.39 / $70.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.50 / $112.53 / $222.50
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.34 / $68.41 / $112.53
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.41 / $93.00 / $258.81
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.58 / $307.86 / $333.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.56 / $103.05 / $203.32
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.33 / $2,613.82 / $2,613.82
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.54 / $674.48 / $674.48