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Idaho 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 / $147.65
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.52 / $146.65 / $927.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,095.89 / $1,095.89 / $1,095.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,500.00 / $3,900.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.17 / $166.17 / $174.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $8,244.00 / $9,193.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.21 / $213.19 / $326.45