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Ohio 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
$61.23 / $61.23 / $352.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.46 / $60.24 / $65.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.14 / $61.23 / $98.29
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.30 / $1,097.93 / $2,421.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.34 / $1,235.17 / $2,179.71
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 / $97.40 / $321.16
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.15 / $87.15 / $87.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $50.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $2,934.00 / $6,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.02 / $56.75 / $93.20