| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $261.36 | $261.36 | $261.36 |
Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; including data preparation and transmission, quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability, data review, interpretation and report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $307.00 | $307.00 | $307.00 | |
Molina
| Professional | $50.00 | $50.00 | $50.00 | |
Wellpoint
| Professional | $261.36 | $261.36 | $261.36 |