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Indiana 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
Facility
Modifier
Low / Median / High Price
$26.83 / $26.83 / $26.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.43 / $26.83 / $37.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.74 / $86.74 / $167.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.19 / $86.74 / $123.17
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.25 / $619.74 / $43,749.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $37.78 / $37.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.93 / $50.36 / $78.48