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Pennsylvania 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 / $137.51 / $137.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.59 / $142.10 / $170.86
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.51 / $137.51 / $137.51
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.59 / $141.80 / $170.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.77 / $194.41 / $305.57