go back

Arizona rates for HCPCS 0696T

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 follow-up interrogation or programming device evaluation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.20 / $41.73 / $64.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.27 / $78.23 / $127.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $39.11 / $48.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.46 / $155.46 / $155.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.86 / $68.88 / $131.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.08 / $45.67 / $93.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.08 / $45.22 / $71.40