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Virginia 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
$253.30 / $5,087.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.51 / $253.30 / $257.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $252.94
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,366.00 / $5,804.00 / $6,779.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.07 / $309.69 / $381.94
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.65 / $268.50 / $428.08
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.00 / $402.00 / $599.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.28 / $301.20 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.28 / $301.20 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $9,373.00 / $17,192.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.21 / $336.45 / $506.86