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Washington rates for HCPCS 0410T

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.00 / $10,596.56 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.02 / $51.18 / $582.07
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,816.01 / $24,075.80 / $46,054.28
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.64 / $829.92 / $3,306.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,574.09 / $16,574.09 / $16,574.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,332.37 / $14,534.94 / $38,471.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,159.25 / $10,477.90 / $19,940.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.33 / $8,445.44 / $11,665.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.59 / $66.59 / $517.78
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.78 / $773.52 / $1,027.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,567.73 / $24,075.80 / $46,054.28
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$332.64 / $726.93 / $1,003.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $13,441.00 / $26,100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.69 / $94.89 / $983.72