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Hawaii rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,758.00 / $4,456.00 / $5,299.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.74 / $438.74 / $438.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,340.00 / $3,340.00 / $3,340.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.38 / $744.47 / $809.83