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Tennessee 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
$94.03 / $117.54 / $6,165.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.28 / $106.92 / $117.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.00 / $139.00 / $388.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.49 / $167.89 / $275.37
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.36 / $470.81 / $538.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$746.58 / $746.58 / $824.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.00 / $794.00 / $2,577.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.21 / $249.26 / $388.44