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North Dakota 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
$44.87 / $44.87 / $44.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.34 / $99.65 / $117.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.73 / $154.06 / $463.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.73 / $153.74 / $186.80