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North Dakota 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
$106.18 / $106.18 / $106.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.18 / $106.18 / $150.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.18 / $180.51 / $318.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.82 / $296.72 / $380.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.26 / $293.81 / $380.81