| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.06 | $120.06 | $120.06 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $237.48 | $493.55 | $617.42 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.06 | $120.06 | $120.06 | |
United
| Facility | $293.00 | $293.00 | $3,239.00 | |
United
| Professional | $237.48 | $493.55 | $617.42 |