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Michigan 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
$143.38 / $143.38 / $143.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.35 / $139.94 / $143.38
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.38 / $143.38 / $143.38
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.89 / $143.38 / $143.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.94 / $199.12 / $284.16