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Indiana 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
$75.22 / $75.22 / $12,486.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $75.22 / $104.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.40 / $200.40 / $200.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.00 / $329.00 / $634.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.20 / $329.00 / $467.18
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.44 / $1,160.91 / $43,749.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.34 / $49.53 / $434.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.00 / $2,252.00 / $4,426.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $245.76 / $447.52