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Maine 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
$40.61 / $40.61 / $42.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.45 / $78.18 / $140.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.66 / $51.94 / $80.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.61 / $40.61 / $42.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.38 / $57.71 / $74.63