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Iowa 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
$138.44 / $138.44 / $139.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.44 / $200.75 / $244.74
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.44 / $200.75 / $714.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.97 / $315.45 / $1,149.84
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.44 / $244.74 / $809.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.44 / $244.74 / $809.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.56 / $315.45 / $421.20