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Missouri 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
$25.12 / $25.12 / $48.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.90 / $48.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.92 / $39.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $39.81 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $57.54 / $190.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $66.07 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $28.84 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $63.10 / $97.72