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Illinois 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
$38.46 / $38.46 / $38.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $58.53 / $63.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.70 / $53.32 / $68.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.55 / $111.45 / $111.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $54.58 / $104.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $93.02 / $111.44
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.98 / $102.19 / $153.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.89 / $95.03 / $103.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,500.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$785.00 / $2,873.00 / $7,384.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.32 / $65.53 / $98.89