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Maine 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
$152.68 / $152.68 / $158.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $78.18 / $140.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.78 / $194.56 / $302.74
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.68 / $152.68 / $158.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.16 / $224.43 / $319.06