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Wisconsin rates for HCPCS 0451T

Insertion or replacement of a permanently implantable aortic counterpulsation ventricular assist system, endovascular approach, and programming of sensing and therapeutic parameters; complete system (counterpulsation device, vascular graft, implantable vascular hemostatic seal, mechano-electrical skin interface and subcutaneous electrodes)

Insurance Carrier
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,298.21 / $4,298.21 / $4,298.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $58.40 / $58.40
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,328.85 / $1,328.85 / $1,328.85
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,517.02 / $2,517.02 / $4,298.21