go back

Wisconsin rates for HCPCS 0677T

Laparoscopic repositioning of diaphragmatic lead(s), permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function, including connection to an existing pulse generator; first repositioned lead

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,119.00 / $3,119.00 / $17,823.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,060.00 / $7,344.00 / $10,517.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.41 / $592.41 / $592.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,627.00 / $13,721.00 / $17,327.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,789.00 / $13,851.00 / $17,327.00