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New Hampshire 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
Professional
Modifier
Low / Median / High Price
$74.56 / $77.55 / $108.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.69 / $162.13 / $227.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $116.77 / $241.71
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00