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Texas 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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $478.63 / $602.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87,096.36 / $87,096.36 / $87,096.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $4,365.16 / $4,365.16
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $2,089.30 / $7,943.28
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $489.78 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $588.84 / $1,071.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $21,379.62 / $45,708.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $870.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $524.81 / $524.81