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New Mexico 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
$85.61 / $85.61 / $85.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.48 / $68.48 / $68.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $85.00 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.00 / $324.00 / $324.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $110.15 / $170.64