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Pennsylvania rates for HCPCS 33228

Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $5,128.61 / $28,183.83
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $21,379.62 / $57,543.99
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $25,118.86 / $57,543.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $4,265.80 / $23,442.29
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $346.74 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $9,549.93 / $33,884.42