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Pennsylvania rates for HCPCS 33264

Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $5,248.07 / $64,565.42
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
$12,882.50 / $77,624.71 / $177,827.94
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $4,677.35 / $28,840.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $478.63 / $7,244.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $26,915.35 / $100,000.00