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Wisconsin rates for HCPCS 90912

Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $87.10 / $158.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $64.57 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $95.50 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $288.40 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $141.25 / $275.42
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $72.44 / $109.65
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $112.20 / $204.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $72.44 / $109.65
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $218.78 / $512.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $104.71 / $194.98
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $269.15
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $389.05 / $512.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $218.78 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $102.33 / $245.47