go back

Utah 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
$3,162.28 / $6,918.31 / $109,647.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $64,565.42 / $134,896.29
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $1,698.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $7,413.10 / $74,131.02