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Idaho 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
$40.47 / $56.81 / $62.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.60 / $61.70 / $81.23
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.42 / $91.42 / $91.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $137.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.98 / $95.55 / $118.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.31 / $97.01 / $102.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,700.00 / $15,298.00 / $26,104.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.88 / $66.48 / $84.96