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New Hampshire 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
$158.40 / $158.40 / $177.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $155.07 / $216.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.85 / $333.81 / $575.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.83 / $276.68 / $498.31
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00