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Hawaii 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
$1,758.00 / $4,456.00 / $5,299.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.11 / $213.11 / $213.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.02 / $345.84 / $403.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.80 / $267.80 / $402.74