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Wisconsin rates for HCPCS 0643T

Transcatheter L Ventr Restoration Device Impltj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,482.00 / $14,482.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,712.00 / $12,916.00 / $20,227.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.81 / $980.81 / $980.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,429.00 / $4,096.39 / $9,547.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,203.00 / $4,316.80 / $19,003.00