go back

Virginia rates for HCPCS 93745

Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system, establishing baseline electronic ECG, transmission of data to data repository, patient instruction in wearing system and patient reporting of problems or events

Facilitymedian $91 · 10th–90th $35–$8320%5%10%10th90th$91Professionalmedian $95 · 10th–90th $47–$1480%10%10th90th$95$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$83.18 / $102.33 / $102.33
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $114.82 / $173.78
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $87.10 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $234.42 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $144.54 / $269.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$93.33 / $134.90 / $234.42
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $104.71 / $173.78
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $69.18 / $229.09
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $91.20 / $1,174.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $1,000.00 / $2,344.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $83.18 / $134.90