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Alaska rates for HCPCS 0412T

Removal of permanent cardiac contractility modulation system; pulse generator only

Facilitymedian $355 · 10th–90th $162–$12,8820%10%10th90th$355Professionalmedian $234 · 10th–90th $145–$2950%20%40%10th90th$234$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $10,964.78 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $234.42 / $295.12
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $295.12 / $416.87
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $234.42 / $295.12
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,047.13 / $1,348.96
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$147.91 / $295.12 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $354.81 / $1,380.38