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Tennessee 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
$82.07 / $91.37 / $139.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.71 / $71.81 / $92.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.69 / $100.99 / $158.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $2,613.82 / $2,613.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.54 / $463.54 / $674.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $91.62 / $158.91