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Arizona rates for HCPCS 0576T

Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode, with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $54.70 / $106.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.37 / $57.06 / $94.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.92 / $53.23 / $57.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.46 / $155.46 / $155.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $87.15 / $97.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.82 / $116.95 / $4,199.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.23 / $53.37 / $144.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,519.00 / $3,314.00 / $6,416.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.23 / $50.54 / $95.52