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Missouri 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
$1,704.00 / $4,470.00 / $8,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.55 / $226.25 / $296.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.30 / $235.80 / $381.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.02 / $642.03 / $7,134.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.08 / $372.81 / $1,883.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $6,854.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.08 / $333.52 / $709.06