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Nebraska 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
$71.91 / $71.91 / $71.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $67.13 / $67.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.01 / $543.47 / $1,020.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.84 / $130.24 / $133.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.13 / $111.70 / $2,489.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $143.10 / $463.54
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.49 / $134.15 / $317.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.49 / $122.87 / $317.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.80 / $325.80 / $325.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $147.66 / $177.23