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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.98 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.29 / $489.64 / $511.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,785.08 / $9,785.08 / $9,785.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,295.83 / $10,176.48 / $13,209.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$511.98 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.98 / $547.02 / $717.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,555.00 / $18,687.00 / $25,752.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.19 / $693.82 / $949.49