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Wisconsin rates for HCPCS 90913

Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient (List separately in addition to code for primary procedure)

Facilitymedian $31 · 10th–90th $22–$550%10%10th90th$31Professionalmedian $31 · 10th–90th $22–$690%10%10th90th$31$20.0$50.0$100.0$200.0

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
$25.12 / $33.88 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $28.84 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $45.71 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $114.82 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $72.44 / $123.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $30.90 / $44.67
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $56.23 / $81.28
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $30.20 / $44.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $79.43 / $199.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $83.18
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $44.67 / $77.62
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $151.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $158.49 / $199.53
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $38.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $100.00 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $48.98 / $100.00