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West Virginia 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
$132.60 / $132.60 / $132.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.15 / $682.45 / $1,445.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.87 / $89.49 / $157.26