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New Mexico 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
$115.34 / $115.34 / $115.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $113.28 / $121.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,799.99 / $68,899.99 / $81,099.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $231.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.00 / $1,327.00 / $1,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.82 / $242.63 / $357.33