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Utah 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
$29.82 / $29.82 / $29.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.76 / $34.03 / $36.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.89 / $49.16 / $58.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.13 / $41.33 / $44.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,312.00 / $2,446.00 / $13,847.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.84 / $34.54 / $48.94