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Utah 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
$38.72 / $38.72 / $38.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.04 / $38.72 / $38.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.21 / $72.58 / $104.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.43 / $48.26 / $48.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.27 / $47.60 / $71.81