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Maryland rates for HCPCS 0571T

Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s), including all imaging guidance and electrophysiological evaluation (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters), when performed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.41 / $634.67 / $1,515.26
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.17 / $597.17 / $682.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$925.31 / $1,067.05 / $1,391.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.65 / $669.44 / $1,086.41