CPT 0626T

Automated quantitative plaque analysis with interpretation and report

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Auto Quan&Charac Coronary Plaq Rev Cptr Alys I&R

Payer pricing summary

Low

Average

$606

Median

$130

High

$2.4k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Aetna fee schedule · outpatient · +10 other terms	63	$183	$199	$146	73%	—	$1 – $822
2	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	63	$413	$385	$218	57%	—	$1 – $950
3	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$535	$542	$161	30%	—	$223 – $1.0k
4	UnitedHealthcare fee schedule · both · +10 other terms	26	$203	$193	$26	13%	—	$82 – $238
5	Humana fee schedule · outpatient · +6 other terms	19	$229	$203	$73	36%	—	$63 – $274
6	Anthem fee schedule · outpatient · +5 other terms	17	$88	$88	—	—	—	$88 – $88
7	Caresource facility · case rate · outpatient · +1 other terms	15	$80	$86	$20	23%	—	$53 – $136
8	Molina facility · case rate · outpatient · +2 other terms	15	$79	$86	$20	23%	—	$55 – $133
9	Cigna fee schedule · both · +7 other terms	13	$85	$85	—	—	—	$85 – $85
10	Optum facility · case rate · outpatient · +1 other terms	11	$74	$81	$18	22%	—	$67 – $121
11	Highmark fee schedule · outpatient · +3 other terms	10	$81	$81	$24	29%	—	$54 – $105
12	Medica fee schedule · outpatient · +4 other terms	10	$144	$145	$37	25%	—	$87 – $186
13	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$65	$65	—	—	—	$65 – $65
14	Ambetter percent of total billed charges · bothfrom % of charges	4	$1.7k	$1.7k	$1.1k	67%	—	$101 – $2.5k
15	Oscar percent of total billed charges · bothfrom % of charges	4	$1.9k	$1.9k	$1.3k	67%	—	$117 – $2.9k
16	Bcbs Ma percent of total billed charges · outpatientfrom % of charges	3	$116	$116	—	—	—	$116 – $116
17	Amerihealth Caritas other · outpatient	2	$307	$307	$1	0%	—	$307 – $308
18	Bcbs La fee schedule · outpatient	2	$0	$0	—	—	—	$0 – $0
19	Bcbs Ri percent of total billed charges · outpatientfrom % of charges	2	$52	$52	—	—	—	$52 – $52
20	First Health other · outpatient · +1 other terms	2	$2.7k	$2.7k	—	—	—	$2.7k – $2.7k
21	MultiPlan other · outpatient · +5 other terms	2	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
22	Bcbs Nv fee schedule · outpatient	1	$69	$69	—	—	—	$69 – $69
23	Bcbs Vt professional · fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78
24	Devoted facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$48	$48	—	—	—	$48 – $48
25	Excellus professional · fee schedule · both	1	$103	$103	—	—	—	$103 – $103

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