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North Carolina rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$578.76 / $7,439.00 / $13,764.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.09 / $578.76 / $776.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$886.36 / $1,666.13 / $2,351.80
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.85 / $578.76 / $983.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.85 / $469.85 / $469.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,810.00 / $42,428.00 / $93,042.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.05 / $1,118.43 / $1,994.79
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.68 / $1,361.68 / $107,048.30
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,691.83 / $3,691.83 / $3,691.83