go back

Massachusetts 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
$94.00 / $94.00 / $94.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $94.00 / $94.00
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $1,818.00 / $3,445.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $61.29 / $746.58
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.89 / $67.04 / $8,090.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $46.93 / $102.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.39 / $241.66 / $317.27
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.00 / $1,818.00 / $3,445.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $58.71 / $746.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.00 / $1,818.00 / $2,733.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $50.33 / $130.47