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Virginia 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
$52.30 / $52.30 / $72.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.59 / $54.38 / $72.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.10 / $66.67 / $92.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.79 / $44.86 / $93.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.38 / $264.38 / $264.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.81 / $84.65 / $117.81
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.46 / $58.77 / $99.37
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.91 / $107.68 / $152.88
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.79 / $93.41 / $5,502.98
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.79 / $93.41 / $5,502.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,238.00 / $2,959.00 / $5,226.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.04 / $59.10 / $93.27