go back

Tennessee 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
$112.88 / $112.88 / $141.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.77 / $141.10 / $148.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.94 / $200.30 / $328.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.37 / $817.48 / $817.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,137.35 / $1,169.68 / $1,318.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.37 / $221.67 / $367.20