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Minnesota 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
$111.85 / $111.85 / $111.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.02 / $111.85 / $111.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.98 / $171.73 / $357.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.38 / $171.73 / $171.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.91 / $121.83 / $293.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.39 / $42.08 / $49.53
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.84 / $111.38 / $230.78
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $39.00 / $46.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.01 / $189.03 / $2,720.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.33 / $182.46 / $596.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $185.24 / $581.12