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Utah 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
$2,454.71 / $4,570.88 / $16,982.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $338.84 / $407.38
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
$891.25 / $1,047.13 / $2,454.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $436.52 / $501.19
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $331.13 / $354.81
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $407.38 / $467.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $2,818.38 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $426.58 / $707.95