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Wisconsin rates for HCPCS 0497T

External patient-activated, physician- or other qualified health care professional-prescribed, electrocardiographic rhythm derived event recorder without 24 hour attended monitoring; in-office connection

Facilitymedian $107 · 10th–90th $71–$3160%10%20%10th90th$107Professionalmedian $30 · 10th–90th $15–$5750%10%20%10th90th$30$10.0$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$70.79 / $81.28 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $29.51 / $36.31
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $316.23 / $316.23
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $316.23 / $316.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $602.56 / $602.56
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $5.89 / $18.62