go back

Colorado 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
Facility
Modifier
Low / Median / High Price
$103.68 / $103.68 / $103.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $103.68 / $147.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.83 / $166.61 / $260.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.62 / $175.62 / $175.62
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.68 / $132.19 / $196.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.43 / $233.03 / $284.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$730.00 / $1,464.00 / $3,011.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.70 / $242.79 / $398.03