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New Hampshire rates for HCPCS 0574T

Repositioning of previously implanted substernal implantable defibrillator-pacing electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $11,351.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.54 / $430.54 / $464.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,992.79 / $9,992.00 / $19,050.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.42 / $678.35 / $947.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.77 / $924.33 / $1,646.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,949.00 / $9,949.00 / $9,949.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.73 / $707.24 / $1,554.23
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00