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Michigan rates for HCPCS 0520T

Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only

Facilitymedian $4,898 · 10th–90th $513–$16,5960%50%10th90th$4,898Professionalmedian $513 · 10th–90th $372–$9770%20%10th90th$513$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

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
$512.86 / $4,897.79 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $501.19 / $549.54
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
$588.84 / $1,621.81 / $6,918.31
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $549.54 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $14,454.40 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $707.95 / $954.99