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Pennsylvania rates for HCPCS 0502T

Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; data preparation and transmission

Insurance Carrier
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.30 / $52.30 / $66.77
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.62 / $53.35 / $66.77