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Maine 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
$47.45 / $54.41 / $65.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.28 / $61.51 / $87.34
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.91 / $98.24 / $231.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.45 / $49.26 / $65.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.19 / $64.50 / $184.32