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Wisconsin rates for HCPCS 98975

Remote therapeutic monitoring (eg, therapy adherence, therapy response, digital therapeutic intervention); initial set-up and patient education on use of equipment

Facilitymedian $23 · 10th–90th $17–$830%10%10th90th$23Professionalmedian $21 · 10th–90th $17–$510%10%10th90th$21$10.0$20.0$50.0$100.0$200.0$500.0

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
$19.95 / $19.95 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.50 / $36.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $26.30 / $63.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $63.10 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $50.12 / $60.26
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $41.69
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $40.74 / $57.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $22.39 / $45.71
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $30.90 / $120.23
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
$17.38 / $25.12 / $50.12
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $45.71 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $45.71 / $120.23
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $83.18 / $120.23
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Security Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $32.36 / $40.74
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $354.81 / $467.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $72.44