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Arizona rates for HCPCS 0695T

Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, disconnection, review, and report; at time of implant or replacement

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.79 / $157.34 / $243.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.26 / $633.60 / $1,036.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.11 / $502.81 / $628.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.41 / $258.16 / $494.41
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.36 / $171.95 / $350.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $170.24 / $268.80