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Montana rates for HCPCS 0414T

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

Facilitymedian $676 · 10th–90th $661–$69,1830%50%10th90th$676Professionalmedian $407 · 10th–90th $275–$6760%20%10th90th$407$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $389.05 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$660.69 / $676.08 / $69,183.10
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $676.08 / $69,183.10
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $323.59 / $616.60
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $616.60 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $691.83 / $1,548.82