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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$38.46 / $54.41 / $59.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.38 / $80.62 / $109.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.07 / $125.07 / $125.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.42 / $169.42 / $169.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.02 / $93.02 / $111.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,551.00 / $2,257.00 / $6,383.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.68 / $59.83 / $87.26