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Indiana 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
$100.89 / $100.89 / $100.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.35 / $100.89 / $140.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.74 / $86.74 / $167.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.19 / $86.74 / $129.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.05 / $2,322.16 / $43,749.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $37.78 / $37.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.66 / $187.44 / $310.62