go back

Indiana rates for HCPCS 0677T

Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first repositioned lead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$927.00 / $4,846.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.00 / $731.00 / $1,386.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.00 / $9,200.00 / $18,942.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.75 / $550.28 / $759.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,624.35 / $121,498.80 / $157,498.40
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121,498.79 / $145,798.54 / $182,248.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.41 / $726.37 / $726.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,076.00 / $11,151.00 / $17,380.00