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Minnesota 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
$151.36 / $151.36 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $151.36 / $181.97
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $251.19 / $323.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $302.00 / $575.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $275.42 / $501.19