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Minnesota 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
$225.59 / $225.59 / $4,828.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.66 / $225.59 / $225.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,935.50 / $9,028.58 / $15,881.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.52 / $538.77 / $10,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.16 / $494.64 / $996.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,293.00 / $6,652.00 / $9,810.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.16 / $472.76 / $946.38