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Montana 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
Professional
Modifier
Low / Median / High Price
$377.19 / $377.19 / $377.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.05 / $582.05 / $582.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.05 / $582.05 / $582.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.05 / $582.05 / $582.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.05 / $735.70 / $818.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.00 / $630.60 / $1,023.04