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Pennsylvania 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
Facility
Modifier
Low / Median / High Price
$26.58 / $31.61 / $31.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $32.95 / $36.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $48.89 / $58.58
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.83 / $90.83 / $90.83
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $62.03 / $115.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.61 / $31.61 / $31.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.71 / $33.72 / $40.85
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.03 / $120.03 / $129.81
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $48.89 / $58.58
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.65 / $32.65 / $34.65
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $33.97 / $39.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $2,446.00 / $6,612.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.35 / $37.79 / $58.86