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Idaho 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
$2,884.03 / $4,466.84 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $7,079.46 / $12,022.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $245.47 / $245.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.17 / $295.12 / $5,495.41
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $234.42 / $4,466.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $8,912.51 / $12,302.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $426.58
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $9,332.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $16,982.44 / $18,197.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $323.59 / $478.63