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Michigan rates for HCPCS 0712T

Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.33 / $82.33 / $82.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.20 / $86.45 / $111.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.75 / $413.75 / $413.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00