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Utah rates for HCPCS 0574T

Repositioning of previously implanted substernal implantable defibrillator-pacing electrode

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $5,888.44 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $501.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $6,760.83 / $14,125.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $575.44 / $616.60
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,317.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $851.14