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New Hampshire 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
$42.09 / $42.09 / $47.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.44 / $155.07 / $216.56
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $93.18 / $166.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.34 / $82.69 / $132.40
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00