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Montana rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.28 / $631.28 / $631.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.44 / $620.44 / $620.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.44 / $620.44 / $620.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.44 / $620.44 / $620.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.44 / $1,088.25 / $1,661.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.78 / $1,400.66 / $1,661.81