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Mississippi rates for HCPCS 0681T

Relocation of pulse generator only, permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, with connection to existing dual leads

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$618.00 / $1,250.00 / $1,831.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.87 / $819.87 / $819.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.25 / $42.50 / $50.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$860.00 / $3,066.00 / $8,411.00