go back

Kansas 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
$94.89 / $94.89 / $94.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.89 / $107.21 / $107.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.70 / $179.70 / $179.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.21 / $403.00 / $1,661.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.13 / $341.18 / $746.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $550.00 / $1,769.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.21 / $316.81 / $428.91