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Pennsylvania rates for HCPCS 33240

Insertion of implantable defibrillator pulse generator only; with existing single lead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,013.00 / $5,342.00 / $11,083.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.11 / $440.67 / $510.34
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.00 / $27,840.00 / $57,255.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.25 / $366.58 / $554.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.79 / $544.54 / $751.30
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.79 / $547.79 / $567.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.00 / $5,868.00 / $12,474.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.11 / $507.13 / $2,843.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $662.10 / $921.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.90 / $552.82 / $833.03
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.39 / $354.39 / $539.51
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.04 / $358.65 / $539.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,742.00 / $16,052.00 / $91,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.91 / $484.07 / $735.19