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Utah 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
$512.86 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $512.86 / $602.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $44,668.36 / $97,723.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $776.25
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $794.33 / $851.14
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $630.96 / $1,047.13