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Maryland 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
Professional
Modifier
Low / Median / High Price
$139.94 / $151.84 / $169.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.02 / $207.04 / $244.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.97 / $170.44 / $300.81