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Montana rates for HCPCS 0578T

Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $29.86 / $36.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.84 / $57.84 / $68.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.01 / $57.84 / $58.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.26 / $36.57 / $62.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.63 / $52.06 / $64.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.37 / $51.33 / $60.90