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Nebraska rates for HCPCS 0417T

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, including review and report, implantable cardiac contractility modulation system

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.44 / $97.91 / $189.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $64.48 / $86.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.98 / $191.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.20 / $109.67 / $349.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $85.47 / $191.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $121.80 / $191.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.98 / $153.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.16 / $76.73 / $97.47