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Ohio 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
$1,622.00 / $6,492.00 / $11,581.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.80 / $248.43 / $253.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $3,528.00 / $14,996.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.67 / $272.32 / $416.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.56 / $4,253.31 / $11,374.89
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.55 / $4,416.89 / $7,794.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,840.00 / $5,920.00 / $7,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.27 / $313.39 / $463.23