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Pennsylvania 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
$71.70 / $111.42 / $254.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $66.23 / $163.36
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.23 / $111.42 / $261.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.16 / $66.23 / $163.36
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.27 / $206.03 / $330.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.02 / $90.00 / $145.66