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Montana rates for HCPCS 0415T

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.16 / $349.16 / $349.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.13 / $512.13 / $512.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.13 / $512.13 / $512.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.13 / $512.13 / $512.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.13 / $681.10 / $720.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.74 / $584.40 / $900.94