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New Hampshire 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])

Facilitymedian $9,772 · 10th–90th $2,399–$14,7910%10%10th90th$9,772Professionalmedian $562 · 10th–90th $398–$1,2020%20%10th90th$562$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,388.44 / $14,791.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $602.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,715.19 / $12,022.64 / $22,908.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $549.54 / $549.54
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $12,589.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $977.24 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,589.25 / $12,589.25 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $1,000.00 / $2,818.38
Well Sense
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $602.56 / $794.33