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Washington rates for HCPCS 0458T

Removal of permanently implantable aortic counterpulsation ventricular assist system; subcutaneous electrode

Insurance Carrier
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,706.91 / $10,168.04 / $10,168.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.25 / $1,659.25 / $1,659.25
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,260.05 / $3,087.86 / $3,631.75