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Hawaii 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
$94.00 / $94.00 / $94.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.17 / $1,265.64 / $1,476.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.96 / $262.17 / $301.95