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Idaho rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,657.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.28 / $730.13 / $913.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$538.48 / $832.01 / $1,064.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,500.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,634.32 / $62,111.47 / $76,099.10
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.23 / $551.23 / $617.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,540.00 / $49,709.00 / $50,359.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.63 / $1,186.99 / $1,756.77