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Missouri 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
$41.20 / $13,618.00 / $13,618.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $60.90 / $81.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,135.00 / $8,817.00 / $15,754.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.21 / $68.67 / $105.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.24 / $131.40 / $57,732.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $93.02 / $119.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.51 / $107.93 / $7,500.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.97 / $75.33 / $483.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $3,300.00 / $12,445.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $71.00 / $130.34