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Pennsylvania 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

Facilitymedian $7,244 · 10th–90th $1,445–$11,2200%10%10th90th$7,244Professionalmedian $589 · 10th–90th $417–$1,1220%20%10th90th$589$10.0$50.0$200.0$1.0K$5.0K$20.0K$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
$1,445.44 / $7,244.36 / $11,220.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $575.44 / $1,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $707.95
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $741.31
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69,183.10 / $69,183.10 / $69,183.10
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $5,248.07 / $9,549.93
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $602.56 / $1,862.09
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $630.96
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $630.96 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,073.80 / $24,547.09 / $100,000.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $758.58 / $1,230.27