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Montana 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
Professional
Modifier
Low / Median / High Price
$559.94 / $559.94 / $559.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.25 / $820.25 / $820.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.25 / $820.25 / $820.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.25 / $820.25 / $820.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$820.25 / $1,092.00 / $1,154.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.23 / $884.40 / $1,443.00