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Arizona rates for HCPCS 0523T

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
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $122.54 / $160.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.65 / $120.10 / $196.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $53.42 / $66.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.00 / $239.12 / $1,960.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.58 / $167.87 / $345.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.00 / $163.71 / $264.86