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Louisiana rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.67 / $1,850.00 / $3,945.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.62 / $469.90 / $535.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,123.60 / $17,027.57 / $30,466.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.00 / $10,023.73 / $21,405.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.82 / $710.03 / $1,009.21