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Oklahoma 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
$123.27 / $123.27 / $123.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.27 / $123.27 / $123.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.02 / $123.27 / $714.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.19 / $185.93 / $1,169.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.34 / $177.61 / $259.39