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Utah rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.96 / $4,387.00 / $10,458.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$730.13 / $782.96 / $782.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,383.01 / $45,366.47 / $65,130.09
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.92 / $828.28 / $1,035.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,425.00 / $21,844.00 / $43,473.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.47 / $856.77 / $1,709.29