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Pennsylvania rates for HCPCS 0580T

Removal of substernal implantable defibrillator pulse generator only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$768.00 / $3,748.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.94 / $204.16 / $239.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.83 / $299.83 / $299.83
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.00 / $3,964.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.94 / $218.11 / $3,494.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.02 / $225.02 / $238.82
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.02 / $238.19 / $238.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $3,475.00 / $6,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.66 / $277.64 / $434.78