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Adjusting An Implanted Heart-Assist Device

Wisconsin rates for HCPCS 0462T

An in-office session with an implanted device that helps a weakened heart pump. The clinician connects to it, tests how it is functioning, and works through its settings to select the best permanent values, then reviews the findings and issues a report.

Rates data updated July 2026.

How much does Adjusting An Implanted Heart-Assist Device cost?

$302

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $302 for this service. The price depends on where it is billed: about $302 from a physician practice, and about $155 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$302$145 to $316
FacilityA hospital or hospital-owned outpatient department$155$145 to $17,783

How much rates vary

Facilitymedian $155 · 10th to 90th $145 to $20,893Professionalmedian $302 · 10th to 90th $145 to $316
$100$500$2K$10Kfacility $155professional $302

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Medica
Setting
Facility
Modifier
Global
Typical Low
$95.50
Median
$95.50
Typical High
$154.88
Medica
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$154.88
Typical High
$154.88
Quartz
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$316.23
Typical High
$316.23
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$17,782.79
Typical High
$20,892.96

Where Wisconsin sits

The same service costs 1949.8 times more in Kentucky than in Idaho. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 27th of 38

$302

KY $58,884ID $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.