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Nebraska 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
$60.57 / $60.57 / $60.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.95 / $60.57 / $60.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.44 / $97.91 / $189.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.59 / $106.20 / $144.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.75 / $109.69 / $171.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.20 / $93.88 / $3,678.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.07 / $91.18 / $483.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.75 / $119.86 / $171.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.75 / $104.11 / $171.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,054.00 / $4,317.00 / $13,909.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.07 / $87.80 / $155.96