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Utah 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
Professional
Modifier
Low / Median / High Price
$66.91 / $66.91 / $83.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.05 / $93.00 / $137.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.11 / $82.34 / $93.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $86.40 / $129.60