go back

Michigan 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
$2,877.00 / $4,029.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,084.05 / $6,084.05 / $9,734.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,721.06 / $6,767.29 / $10,221.20
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,877.00 / $4,029.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,877.00 / $2,877.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $8,596.00 / $12,767.00