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Hawaii rates for HCPCS 0515T

Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $5,484.00 / $6,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.20 / $470.20 / $470.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,425.00 / $7,425.00 / $7,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.42 / $801.89 / $868.81