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Wisconsin rates for HCPCS 0696T

Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony, cardiac resynchronization therapy device, including connection, recording, disconnection, review, and report; at time of follow-up interrogation or programming device evaluation

Facilitymedian $37 · 10th–90th $24–$1100%20%40%10th90th$37Professionalmedian $47 · 10th–90th $28–$1450%10%10th90th$47$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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $38.90 / $46.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $75.86 / $245.47
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $46.77 / $87.10
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$37.15 / $83.18 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $77.62 / $229.09
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $97.72 / $138.04
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $257.04
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $302.00 / $302.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $100.00 / $131.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $77.62 / $177.83