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Iowa 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
$213.80 / $3,981.07 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $218.78 / $251.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $331.13 / $575.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $6,760.83 / $10,964.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $302.00 / $380.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $8,128.31 / $10,964.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $691.83