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Idaho 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
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.58 / $449.97 / $493.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.60 / $449.97 / $575.96
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.89 / $404.89 / $404.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $545.04 / $3,500.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,314.93 / $4,697.79 / $5,755.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.37 / $523.37 / $551.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.10 / $641.99 / $950.16