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North Carolina 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
$146.66 / $146.66 / $146.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.94 / $146.66 / $148.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.56 / $200.98 / $470.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.63 / $147.63 / $249.34
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.63 / $147.63 / $147.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.65 / $207.95 / $429.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.37 / $408.25 / $817.48
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.35 / $1,318.35 / $1,318.35