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Missouri rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,035.00 / $5,389.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.63 / $381.34 / $802.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.91 / $1,046.96 / $1,779.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.38 / $1,071.57 / $65,418.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.77 / $1,676.18 / $3,691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,681.00 / $7,582.00 / $65,418.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.25 / $1,528.56 / $2,478.50