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Wisconsin rates for HCPCS 90791

Psychiatric diagnostic evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $204.17 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $165.96 / $416.87
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$524.81 / $676.08 / $676.08
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$123.03 / $123.03 / $128.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $173.78 / $478.63
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $147.91 / $269.15
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $229.09 / $380.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $616.60 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $181.97 / $575.44
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $263.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $416.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $263.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $213.80 / $954.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $204.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $269.15 / $446.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $346.74 / $954.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $144.54 / $1,096.48
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $407.38 / $549.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $162.18 / $213.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $190.55 / $436.52