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Tennessee 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
$891.25 / $2,454.71 / $6,456.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $281.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,905.46 / $4,073.80 / $5,888.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $13,803.84 / $19,952.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $10,964.78 / $10,964.78
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,187.76 / $2,187.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $338.84 / $549.54