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Virginia 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

Facilitymedian $6,761 · 10th–90th $562–$50,1190%10%20%10th90th$6,761Professionalmedian $525 · 10th–90th $437–$3,2360%50%10th90th$525$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $5,495.41 / $10,000.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $524.81 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12,882.50 / $22,387.21 / $38,018.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $436.52
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13,489.63 / $19,952.62 / $25,703.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $562.34 / $954.99
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,380.38 / $56,234.13
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $1,380.38 / $56,234.13
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $54,954.09 / $100,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $741.31 / $1,148.15