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New Hampshire 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
$27.74 / $35.61 / $36.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.61 / $82.90 / $119.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.72 / $64.31 / $134.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,360.00 / $3,360.00 / $7,448.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.54 / $49.26 / $96.15
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00