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Montana rates for HCPCS 0580T

Removal of substernal implantable defibrillator pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.14 / $236.14 / $236.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.11 / $369.11 / $369.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.11 / $369.11 / $369.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.11 / $369.11 / $369.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.11 / $460.60 / $486.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.22 / $373.20 / $608.66