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Maryland 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
$0.98 / $0.98 / $0.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $97.72 / $134.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $169.82 / $204.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $234.42 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $128.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $199.53 / $407.38