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Indiana 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
$1,386.00 / $4,846.00 / $7,954.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.00 / $1,386.00 / $4,988.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,446.00 / $18,496.73 / $25,750.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,261.80 / $1,577.26 / $2,239.69
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,749.56 / $65,624.35 / $89,999.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,100.00 / $16,100.00 / $16,100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,769.68 / $2,081.98 / $2,081.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,403.00 / $5,242.00 / $10,843.00