go back

Wisconsin rates for HCPCS 0475T

Recording of fetal magnetic cardiac signal using at least 3 channels; patient recording and storage, data scanning with signal extraction, technical analysis and result, as well as supervision, review, and interpretation of report by a physician or other qualified health care professional

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.53 / $236.53 / $268.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.23 / $344.23 / $407.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$796.67 / $796.67 / $796.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.89 / $344.23 / $407.44
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.87 / $392.86 / $796.67