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Ohio 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
$5,442.00 / $9,516.00 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,502.00 / $9,504.00 / $11,627.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,577.00 / $13,964.62 / $26,394.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,226.01 / $1,409.91 / $2,026.59
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,374.89 / $45,499.55 / $68,249.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,499.48 / $70,874.30 / $74,999.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.00 / $21,571.00 / $21,571.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,480.00 / $3,086.00 / $6,792.00