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Missouri rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,704.00 / $4,908.00 / $12,174.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.62 / $345.47 / $447.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,135.00 / $8,817.00 / $15,754.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.95 / $371.61 / $623.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,750.00 / $54,750.00 / $57,732.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.83 / $925.92 / $7,042.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.67 / $597.04 / $2,771.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,708.00 / $3,502.00 / $12,445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.67 / $543.48 / $1,072.15