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New York 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)

Facilitymedian $2,630 · 10th–90th $76–$5,1290%10%20%10th90th$2,630Professionalmedian $107 · 10th–90th $52–$3630%20%10th90th$107$20.0$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $3,630.78 / $5,370.32
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $93.33 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $323.59 / $575.44
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $4,073.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $50,118.72 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $489.78 / $489.78
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $54.95 / $128.82
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $48.98 / $64.57
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $50.12 / $70.79
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $4,365.16
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $2,511.89 / $4,897.79
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $40.74 / $151.36
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $33.88 / $33.88
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $33.88 / $70.79