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Alaska rates for HCPCS 0416T

Relocation of skin pocket for implanted cardiac contractility modulation pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,328.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.89 / $475.89 / $475.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.02 / $475.89 / $680.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,317.50 / $1,528.30 / $2,566.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.02 / $475.89 / $680.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.62 / $1,924.50 / $3,053.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,160.40 / $1,740.60 / $2,670.99