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Illinois 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
$600.00 / $1,882.00 / $5,405.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.23 / $328.31 / $544.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,338.96 / $2,612.35 / $3,375.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $200.00 / $345.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$749.00 / $2,588.00 / $5,026.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.40 / $687.98 / $1,114.92