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Virginia 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
$4,771.00 / $9,338.00 / $18,862.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,226.00 / $6,827.70 / $10,820.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,099.00 / $16,960.88 / $23,318.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.24 / $1,129.06 / $1,553.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,122.00 / $8,122.00 / $10,523.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.00 / $4,071.00 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.00 / $4,071.00 / $9,929.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.00 / $3,130.00 / $5,226.00