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Indiana rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.69 / $3,500.00 / $10,985.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.63 / $261.69 / $387.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,646.00 / $24,214.00 / $45,778.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.49 / $468.23 / $664.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.71 / $638.41 / $121,498.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.76 / $425.61 / $589.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,293.18 / $25,293.18 / $25,293.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.35 / $618.05 / $618.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,030.00 / $19,133.00 / $25,265.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.81 / $1,097.92 / $1,825.41