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South Carolina 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
$60.90 / $60.90 / $60.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.68 / $59.90 / $61.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.06 / $33.06 / $33.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.63 / $111.44 / $145.12
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.92 / $58.77 / $79.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,471.00 / $6,607.00 / $8,818.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.79 / $47.93 / $83.77