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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
$812.83 / $2,511.89 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $346.74 / $549.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,951.21 / $3,548.13
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $199.53 / $346.74
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $2,238.72 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $1,000.00