go back

New York 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
$1,905.46 / $5,248.07 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $234.42 / $281.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $5,888.44 / $12,302.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $190.55 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $457.09 / $53,703.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $1,202.26 / $1,202.26
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $371.54 / $512.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $53,703.18 / $75,857.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $5,128.61 / $11,481.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $309.03 / $676.08
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $354.81 / $537.03