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Montana rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.68 / $509.68 / $509.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.16 / $747.16 / $747.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.16 / $747.16 / $747.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$747.16 / $747.16 / $747.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.16 / $994.00 / $1,051.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.87 / $802.20 / $1,314.43