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Virginia 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
$486.85 / $4,771.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.21 / $485.43 / $486.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $438.29
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,236.00 / $2,635.00 / $3,426.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.19 / $396.23 / $488.68
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.21 / $486.85 / $741.47
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.00 / $772.00 / $814.56
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.15 / $577.59 / $3,147.19
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.15 / $577.59 / $3,147.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,911.00 / $3,276.00 / $5,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.34 / $629.25 / $974.19