go back

Montana 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $380.19 / $436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $691.83
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $758.58 / $25,118.86
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $758.58 / $25,118.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $331.13 / $691.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $691.83 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $1,122.02