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Louisiana 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
$44.74 / $47.10 / $51.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $47.10 / $58.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.92 / $63.85 / $91.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.00 / $1,649.00 / $6,699.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.47 / $49.28 / $81.50