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Washington 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 $71 · 10th–90th $35–$5500%10%10th90th$71Professionalmedian $102 · 10th–90th $47–$2040%10%10th90th$102$10.0$50.0$200.0$1.0K$5.0K

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
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $95.50 / $134.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $794.33 / $1,621.81
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $186.21 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $208.93 / $363.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$51.29 / $85.11 / $281.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $38.02 / $63.10
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $35.48 / $53.70
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $22.91 / $75.86
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $141.25
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $194.98 / $295.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$549.54 / $831.76 / $1,621.81
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $177.83 / $263.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,096.48 / $2,137.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$91.20 / $131.83 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$57.54 / $60.26 / $114.82