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Washington, DC 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
Facility
Modifier
Low / Median / High Price
$72.43 / $72.43 / $72.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.39 / $72.43 / $72.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $93.02 / $111.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.16 / $87.26 / $149.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.00 / $1,319.00 / $16,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.03 / $65.17 / $138.93