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Maryland rates for HCPCS 0412T

Removal of permanent cardiac contractility modulation system; pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.13 / $240.65 / $257.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,147.00 / $3,147.00 / $3,147.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,060.31 / $2,060.31 / $2,060.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.22 / $363.26 / $514.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.43 / $263.82 / $441.99