go back

North Carolina 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
$220.13 / $5,611.88 / $8,413.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.51 / $220.13 / $221.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $383.03 / $563.64
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.12 / $225.79 / $374.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.79 / $225.79 / $225.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,366.00 / $9,541.00 / $14,589.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.09 / $334.78 / $632.21
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,012.40 / $1,012.40 / $11,082.10
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,946.96 / $2,194.19 / $2,194.19