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Indiana 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
$43.90 / $43.90 / $43.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $45.59 / $61.23
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.02 / $45.02 / $86.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.26 / $48.62 / $62.12
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.70 / $91.92 / $1,272.78
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.70 / $81.31 / $95.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.62 / $76.62 / $76.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.52 / $88.63 / $111.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,062.00 / $5,242.00 / $10,396.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $49.88 / $92.38