| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.81 | $94.81 | $94.81 | |
Aetna
| Professional | $94.03 | $94.81 | $106.77 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $119.41 | $169.92 | $258.43 |
Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree, derived from coronary angiogram data, for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention (List separately in addition to code for primary procedure)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.81 | $94.81 | $94.81 | |
Aetna
| Professional | $94.03 | $94.81 | $106.77 | |
United
| Facility | $241.00 | $850.00 | $1,349.00 | |
United
| Professional | $119.41 | $169.92 | $258.43 |