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North Carolina 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
$59.90 / $59.90 / $59.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.06 / $59.90 / $72.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.95 / $97.08 / $128.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.62 / $76.62 / $76.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.15 / $264.38 / $321.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.77 / $58.77 / $71.88
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.77 / $58.77 / $58.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.55 / $265.55 / $265.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,064.00 / $3,994.00 / $7,778.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.79 / $56.03 / $99.45
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.89 / $202.96 / $357.06
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$565.67 / $574.88 / $574.88