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Wisconsin rates for HCPCS 93642

Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$457.09 / $457.09 / $870.96
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$602.56 / $707.95 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,819.70 / $2,238.72 / $2,238.72
Quartz
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.03 / $2,187.76 / $2,187.76