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Illinois rates for HCPCS 0414T

Removal and replacement of permanent cardiac contractility modulation system pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,148.15 / $4,677.35 / $14,454.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $489.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $32,359.37 / $38,018.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $21,877.62 / $52,480.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $912.01