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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
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $138.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $138.04 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $363.08
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $213.80 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $234.42 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $199.53 / $245.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $234.42 / $457.09