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Arkansas rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.63 / $1,990.00 / $3,324.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.09 / $474.63 / $897.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,741.00 / $12,399.00 / $25,144.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.92 / $989.51 / $1,530.82