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Missouri 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
$70.58 / $70.58 / $138.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.88 / $107.21 / $138.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.22 / $244.11 / $394.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.39 / $39.39 / $39.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.58 / $192.68 / $1,097.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.21 / $390.82 / $746.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $760.00 / $1,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.21 / $356.40 / $580.23