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Arkansas 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
$870.96 / $1,659.59 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $223.87 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.27 / $2,951.21 / $10,471.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $281.84 / $457.09