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Arizona rates for HCPCS 0643T

Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed, arterial approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $5,013.00 / $9,901.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$921.00 / $4,474.00 / $9,683.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,496.12 / $9,181.12 / $15,016.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.66 / $2,980.88 / $3,726.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,384.00 / $6,810.00 / $11,892.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $2,336.00 / $5,491.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,424.00 / $3,269.00 / $6,416.00