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Oklahoma 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
$50.34 / $50.34 / $50.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.34 / $50.34 / $64.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.54 / $135.54 / $135.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.85 / $62.72 / $4,073.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.84 / $52.80 / $97.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $1,760.00 / $7,223.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.40 / $48.00 / $70.50