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Virginia rates for HCPCS 0572T

Insertion of substernal implantable defibrillator electrode

Facilitymedian $5,888 · 10th–90th $525–$17,7830%5%10%10th90th$5,888Professionalmedian $513 · 10th–90th $398–$1,0000%20%10th90th$513$200.0$1.0K$5.0K$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
$524.81 / $4,897.79 / $8,912.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $489.78 / $724.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,748.98 / $14,791.08 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $446.68 / $660.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $549.54 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $524.81 / $954.99
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $10,000.00 / $30,199.52
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $10,000.00 / $30,199.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10,964.78 / $17,782.79 / $31,622.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $660.69 / $1,023.29