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Oklahoma rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $4,833.00 / $16,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.35 / $662.35 / $662.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.15 / $17,239.00 / $48,372.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.89 / $942.45 / $3,691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,288.00 / $25,500.00 / $43,850.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.42 / $942.45 / $1,373.40