go back

Indiana 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
$233.59 / $3,500.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.23 / $233.59 / $345.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.44 / $499.37 / $689.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$330.83 / $5,289.25 / $43,749.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,314.83 / $1,314.83 / $1,314.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.29 / $659.17 / $659.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.62 / $532.90 / $833.29