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Wisconsin rates for HCPCS 95120

Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; single injection

Facilitymedian $30 · 10th–90th $12–$3160%20%10th90th$30Professionalmedian $15 · 10th–90th $10–$540%10%10th90th$15$10.0$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
$12.02 / $316.23 / $316.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $19.50 / $41.69
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $29.51 / $46.77
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $27.54 / $35.48
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $26.30
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $19.05 / $26.30
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $22.39 / $38.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $64.57 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $30.20 / $39.81
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $100.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $34.67
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $38.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $19.50 / $39.81