go back

Indiana 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
$156.80 / $3,500.00 / $11,093.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.55 / $156.80 / $220.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $7,572.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.15 / $346.64 / $478.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.58 / $4,134.14 / $43,749.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,618.46 / $2,618.46 / $2,618.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.93 / $457.56 / $457.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,932.00 / $8,025.00 / $11,038.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.62 / $290.58 / $450.43