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West Virginia 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
$1,412.54 / $13,489.63 / $22,387.21
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $676.08 / $676.08
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323,593.66 / $323,593.66 / $323,593.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $34,673.69 / $87,096.36