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Washington rates for HCPCS 0517T

Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pulse generator (battery and transmitter) only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.34 / $10,596.56 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.65 / $355.34 / $562.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,816.01 / $30,261.00 / $57,885.88
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.06 / $803.61 / $3,195.00
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,332.37 / $15,066.56 / $38,471.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.32 / $9,982.19 / $20,087.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.92 / $7,731.34 / $12,793.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$459.34 / $459.34 / $500.42
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.42 / $775.37 / $993.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,622.90 / $29,589.51 / $57,885.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.47 / $702.55 / $969.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $13,441.00 / $26,100.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.64 / $565.19 / $957.30