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Texas 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 / $266.02 / $574.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $76.47 / $123.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $15.98 / $15.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.33 / $2,489.36 / $2,613.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.54 / $463.54 / $674.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.57 / $75.79 / $151.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.22 / $44.22 / $44.22
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.93 / $207.83 / $304.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.57 / $76.47 / $117.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.22 / $44.57 / $115.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.27 / $81.84 / $136.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $90.69 / $101.25