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New Mexico 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
$148.03 / $148.03 / $148.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.47 / $148.03 / $156.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $85.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.12 / $246.39 / $353.91