go back

Mississippi 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
$93.96 / $106.77 / $135.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.28 / $103.40 / $135.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.00 / $57.00 / $57.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $42.50 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.00 / $529.00 / $1,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.29 / $210.79 / $408.40