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Kentucky 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
$124.97 / $637.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.97 / $220.44 / $248.43
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $6,559.00 / $7,288.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.67 / $252.94 / $316.74
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.68 / $5,088.18 / $47,249.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.19 / $5,237.82 / $7,856.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.76 / $289.76 / $289.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.74 / $1,206.74 / $1,206.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$739.00 / $3,828.00 / $8,582.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.66 / $348.78 / $462.48