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Utah 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
$389.05 / $6,025.60 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $407.38 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $44,668.36 / $97,723.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $602.56
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $489.78 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $812.83