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Arizona rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $8,326.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.66 / $569.26 / $832.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,341.54 / $4,934.39 / $8,070.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.35 / $381.80 / $477.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,769.22 / $34,769.22 / $34,769.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.81 / $1,204.53 / $36,939.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.96 / $902.12 / $1,858.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,442.00 / $16,316.00 / $58,382.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.94 / $878.39 / $1,405.10