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Michigan rates for HCPCS 0516T

Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; electrode only

Facilitymedian $4,898 · 10th–90th $398–$12,0230%50%10th90th$4,898Professionalmedian $380 · 10th–90th $282–$7940%20%10th90th$380$200.0$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$398.11 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $371.54 / $398.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9,772.37 / $9,772.37 / $9,772.37
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,332.54 / $9,772.37 / $9,772.37
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $1,513.56 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $512.86 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,079.46 / $10,715.19 / $19,952.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $691.83