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West 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
$376.30 / $376.30 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.83 / $376.30 / $486.85
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,230.83 / $5,609.30 / $11,205.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.84 / $393.84 / $393.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.28 / $1,643.28 / $1,643.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.39 / $568.84 / $835.15