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West 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
$221.74 / $221.74 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.80 / $248.43 / $257.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$961.99 / $4,384.08 / $8,757.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.76 / $289.76 / $289.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,206.74 / $1,206.74 / $1,206.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.37 / $301.45 / $434.28