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Ohio 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
$2,306.00 / $8,989.00 / $12,117.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.36 / $355.32 / $398.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,185.00 / $9,153.00 / $60,320.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.83 / $409.89 / $619.87
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.38 / $5,720.70 / $11,648.48
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.38 / $5,940.72 / $10,483.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,541.00 / $26,111.00 / $47,498.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.34 / $478.45 / $744.60