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New York 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
$115.59 / $182.63 / $184.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.29 / $170.86 / $193.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.79 / $51.89 / $83.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.97 / $175.97 / $14,648.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.92 / $735.92 / $735.92
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.19 / $219.28 / $291.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.97 / $555.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.92 / $735.92 / $735.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.50 / $201.78 / $442.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.37 / $150.37 / $150.37
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.37 / $227.61 / $315.45