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Kentucky 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
$33.75 / $43.81 / $47.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.75 / $47.61 / $61.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.90 / $57.21 / $62.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.65 / $1,352.33 / $41,999.58
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.31 / $1,245.04 / $2,197.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.62 / $76.62 / $76.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.63 / $321.16 / $321.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.00 / $4,298.00 / $30,001.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.20 / $56.08 / $84.99