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Wyoming 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
$129.91 / $129.91 / $129.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.95 / $140.40 / $237.61