go back

Maine rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $363.08 / $436.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $316.23 / $588.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $676.08
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $354.81 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $489.78 / $691.83