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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
$776.25 / $6,025.60 / $10,964.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $776.25 / $1,000.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $44,668.36 / $97,723.72
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $851.14 / $1,071.52
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $537.03 / $575.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $43,651.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $851.14 / $1,202.26