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Oklahoma 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
$96.02 / $96.02 / $96.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.02 / $96.02 / $103.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.42 / $470.81 / $1,582.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.72 / $175.57 / $746.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $610.00 / $1,883.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.13 / $179.97 / $292.47