go back

West Virginia 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
$348.38 / $348.38 / $3,550.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.02 / $355.32 / $402.52
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,293.80 / $5,896.24 / $11,779.43
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
$414.42 / $414.42 / $414.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.36 / $1,724.36 / $1,724.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,446.00 / $34,446.00 / $34,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.66 / $465.50 / $683.34