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Louisiana 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
$143.86 / $150.74 / $164.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.08 / $143.86 / $164.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.03 / $0.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.80 / $193.60 / $296.39