go back

Utah 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
$524.81 / $6,025.60 / $8,709.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $44,668.36 / $97,723.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $724.44 / $794.33
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $645.65 / $1,023.29