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New York 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
$1,819.00 / $5,601.00 / $11,220.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.52 / $561.16 / $660.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,989.00 / $10,355.00 / $24,288.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.51 / $395.96 / $705.80
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.42 / $5,064.50 / $15,193.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.42 / $704.42 / $704.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$584.03 / $584.03 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.77 / $2,217.06 / $2,217.06
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,357.00 / $47,648.00 / $71,078.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.37 / $656.05 / $957.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.77 / $2,217.06 / $2,217.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,846.00 / $14,155.00 / $52,250.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.52 / $655.28 / $1,510.97
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.65 / $493.65 / $493.65
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.65 / $680.98 / $1,035.59