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Maine 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
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $602.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $549.54 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $691.83 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $501.19 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $691.83 / $954.99