go back

Wisconsin rates for HCPCS 97750

Physical Performance Test/Meas W/Reprt Ea 15 Min

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.78 / $26.78 / $129.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.98 / $26.62 / $91.18
Aetna
Facility/Professional
Professional
Modifier
CQ
Low / Median / High Price
$296.05 / $296.05 / $296.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.32 / $27.44 / $100.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $67.33 / $67.33
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.69 / $31.71 / $41.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $101.97 / $122.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.90 / $81.02 / $108.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.76 / $33.06 / $72.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.67 / $38.77 / $155.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.22 / $34.28 / $212.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.71 / $32.31 / $70.31
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.76 / $33.02 / $69.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.47 / $86.94 / $175.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $80.00 / $155.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.34 / $171.40 / $212.29
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.77 / $93.77 / $93.77
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.99 / $95.67 / $95.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.37 / $34.28 / $81.23