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Montana rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $407.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $602.56
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $660.69 / $676.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $660.69 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $295.12 / $602.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $602.56 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $1,000.00