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Idaho rates for HCPCS 0415T

Repositioning of previously implanted cardiac contractility modulation transvenous electrode, (atrial or ventricular lead)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.31 / $341.36 / $374.58
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.31 / $341.36 / $444.49
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.05 / $358.05 / $358.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $481.99 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,132.46 / $1,579.31 / $2,026.04
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.57 / $484.57 / $509.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,620.00 / $4,150.00 / $4,441.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.92 / $477.26 / $720.75