go back

Missouri 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
$1,760.00 / $5,560.00 / $12,237.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.29 / $504.15 / $653.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,347.00 / $9,208.00 / $13,391.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.94 / $542.64 / $876.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,750.00 / $54,750.00 / $57,732.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.02 / $1,018.66 / $31,219.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.96 / $866.19 / $3,796.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $7,794.00 / $65,418.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.96 / $773.89 / $1,564.59