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Texas rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Facilitymedian $3,715 · 10th–90th $813–$12,8820%5%10%10th90th$3,715Professionalmedian $468 · 10th–90th $302–$7940%20%40%10th90th$468$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
$870.96 / $3,630.78 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $457.09 / $724.44
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,951.21 / $2,951.21 / $2,951.21
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,981.07 / $3,981.07
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $2,089.30 / $6,918.31
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $478.63 / $3,801.89
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $537.03 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $457.09 / $457.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,677.35 / $9,549.93 / $19,498.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $512.86 / $794.33
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $426.58 / $467.74