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North Dakota 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
$32.95 / $32.95 / $32.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $63.47 / $65.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.23 / $136.13 / $151.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.75 / $88.63 / $109.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.95 / $56.02 / $132.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $88.10 / $483.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $86.35 / $113.06