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Georgia 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
$123.33 / $123.33 / $123.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.03 / $118.38 / $123.33
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.06 / $127.06 / $358.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.56 / $145.03 / $211.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.00 / $1,580.00 / $2,665.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.21 / $230.85 / $398.56