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Idaho rates for HCPCS 0409T

Insertion or replacement of permanent cardiac contractility modulation system, including contractility evaluation when performed, and programming of sensing and therapeutic parameters; pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $5,495.41 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $562.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $44,668.36 / $74,131.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $36,307.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $416.87 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $56,234.13 / $79,432.82
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $575.44 / $602.56
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $57,543.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $51,286.14 / $51,286.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $758.58