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Pennsylvania rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$882.00 / $5,079.00 / $9,534.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.66 / $535.36 / $890.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.98 / $512.98 / $512.98
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,298.00 / $5,350.00 / $9,830.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.66 / $583.04 / $3,104.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $3.00 / $3.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.00 / $12,230.00 / $34,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.33 / $1,001.80 / $1,638.44