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North Dakota 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 / $111.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.99 / $587.84 / $626.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $39.00 / $48.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.00 / $129.63 / $282.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $286.58 / $343.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.45 / $286.58 / $546.58