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Pennsylvania rates for HCPCS 0573T

Removal of substernal implantable defibrillator electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.69 / $333.42 / $390.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.35 / $481.35 / $481.35
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.69 / $354.35 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.74 / $366.74 / $389.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.74 / $386.61 / $389.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.91 / $459.99 / $734.78