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Kentucky 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
$77.56 / $109.42 / $140.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.56 / $140.13 / $148.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.19 / $59.19 / $191.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.54 / $2,858.05 / $47,249.53
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.14 / $2,942.10 / $4,413.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.97 / $175.97 / $175.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.92 / $735.92 / $735.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.53 / $209.55 / $282.76