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Washington rates for HCPCS 0415T

Repos Cardiac Modulj Sys Transvenous Electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $8,470.20 / $20,680.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.04 / $341.36 / $499.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,097.30 / $1,848.86 / $3,405.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.53 / $771.02 / $2,842.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.12 / $787.12 / $787.12
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.60 / $690.28 / $3,447.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.71 / $530.33 / $996.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.83 / $489.07 / $654.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$440.77 / $440.77 / $445.12
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.17 / $741.12 / $887.02
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,359.85 / $1,848.86 / $3,405.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.53 / $640.30 / $862.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.00 / $1,875.00 / $4,911.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.73 / $584.40 / $940.39