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North Dakota 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
$154.27 / $154.27 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.27 / $154.27 / $225.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.27 / $262.26 / $462.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.08 / $430.62 / $593.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.80 / $458.66 / $593.00