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Hawaii 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
$1,486.00 / $3,883.00 / $4,705.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.53 / $409.53 / $409.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.38 / $438.96 / $512.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.78 / $716.87 / $774.39