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Wisconsin rates for HCPCS 97750

Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.70 / $25.70 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.70 / $91.20
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$295.12 / $295.12 / $295.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $27.54 / $95.50
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $42.66 / $69.18
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $31.62 / $33.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $91.20 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $50.12 / $102.33
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $32.36 / $67.61
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $70.79 / $97.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $38.90 / $154.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $34.67 / $213.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $79.43 / $173.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $81.28 / $213.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.88 / $169.82 / $213.80
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $93.33 / $95.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $34.67 / $58.88