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Massachusetts 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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $158.49 / $181.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $1,148.15
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $4,897.79 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $251.19
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $229.09 / $436.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.99 / $954.99 / $954.99
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $295.12 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $263.03 / $512.86