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New Jersey 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
$171.61 / $225.49 / $346.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.98 / $90.56 / $90.56
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.52 / $74.73 / $132.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.61 / $88.62 / $158.02