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Texas 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 $3,890 · 10th–90th $1,000–$14,1250%5%10%10th90th$3,890Professionalmedian $389 · 10th–90th $251–$6760%20%10th90th$389$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
$1,000.00 / $3,715.35 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $389.05 / $436.52
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42,657.95 / $42,657.95 / $42,657.95
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,715.35 / $3,715.35
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $2,187.76 / $8,511.38
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $389.05 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $457.09 / $831.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $9,549.93 / $20,417.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $549.54
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $446.68 / $478.63