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Wisconsin rates for HCPCS 0412T

Removal of permanent cardiac contractility modulation system; pulse generator only

Facilitymedian $7,943 · 10th–90th $5,012$13,1830%10%10th90th$7,943Professionalmedian $263 · 10th–90th $155$9120%10%10th90th$263$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $141.25 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $223.87 / $257.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $7,943.28 / $13,182.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$218.78 / $446.68 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $302.00 / $741.31
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$141.25 / $295.12 / $537.03
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $8,511.38 / $12,589.25
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $446.68 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $8,709.64 / $9,120.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $645.65 / $912.01
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,585.78 / $7,585.78 / $10,964.78
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $1,949.84 / $1,949.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,606.93 / $10,232.93 / $12,022.64
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $446.68 / $1,000.00