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Virginia 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
$2,670.00 / $5,168.00 / $8,920.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,088.00 / $3,226.00 / $4,390.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,032.00 / $6,548.00 / $7,221.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.83 / $377.68 / $521.41
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
$2,928.00 / $10,407.00 / $26,411.00