go back

Montana rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.68 / $383.68 / $383.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.89 / $598.89 / $598.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.89 / $598.89 / $598.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$598.89 / $598.89 / $598.89
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.89 / $748.30 / $790.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.16 / $599.44 / $988.81