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Arizona 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
$1,965.00 / $3,819.00 / $7,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.48 / $240.07 / $397.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$601.16 / $2,211.19 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.83 / $267.77 / $334.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,599.47 / $3,599.47 / $3,599.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.66 / $568.64 / $6,124.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.43 / $260.52 / $522.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,878.00 / $4,545.00 / $7,217.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.76 / $253.84 / $442.09