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Georgia 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
Facility
Modifier
Low / Median / High Price
$148.10 / $148.10 / $148.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.88 / $142.10 / $148.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $151.69 / $362.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.30 / $220.09 / $321.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.44 / $226.03 / $386.42