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West Virginia 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
$110.41 / $110.41 / $1,674.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.04 / $104.85 / $114.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$262.14 / $1,194.71 / $2,457.67
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.52 / $124.52 / $124.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.89 / $484.89 / $484.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.37 / $199.01 / $410.44