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Alaska rates for HCPCS 0412T

Removal of permanent cardiac contractility modulation system; pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $234.42 / $295.12
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $295.12 / $416.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $245.47 / $295.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,047.13 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $295.12 / $426.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $602.56 / $1,380.38