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Washington 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
$3,016.00 / $8,500.00 / $22,024.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$706.00 / $1,420.00 / $27,982.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $75.00 / $663.05
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,000.94 / $38,000.94 / $39,593.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,501.54 / $9,333.17 / $16,071.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,612.00 / $9,871.50 / $19,271.00