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Texas rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $3,774.00 / $13,004.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.63 / $771.65 / $897.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,091.22 / $27,091.22 / $27,091.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,361.68 / $107,048.30 / $107,048.30
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,691.83 / $3,691.83 / $3,691.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.15 / $569.26 / $1,635.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.73 / $346.73 / $347.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$357.39 / $771.65 / $1,635.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.01 / $347.01 / $347.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,503.00 / $19,002.00 / $40,083.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.58 / $892.95 / $1,425.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.73 / $356.46 / $478.22