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Wisconsin rates for HCPCS 33264

Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$794.33 / $6,456.54 / $33,113.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $18,620.87 / $29,512.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $1,148.15 / $1,862.09
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $7,413.10 / $14,454.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $23,442.29 / $81,283.05
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $1,659.59
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $97,723.72 / $141,253.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $25,118.86 / $85,113.80