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Wisconsin rates for HCPCS 99155

Mod Sed Other Phys/Qhp Initial 15 Mins <5 Yrs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.75 / $99.76 / $542.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.56 / $98.09 / $372.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.20 / $114.64 / $327.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.16 / $243.25 / $373.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.39 / $186.89 / $230.84
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $89.45 / $161.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.11 / $89.45 / $161.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.05 / $154.62 / $509.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.49 / $85.00 / $137.47
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.29 / $96.74 / $161.47
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.84 / $194.83 / $270.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.39 / $372.39 / $372.39
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.67 / $343.76 / $509.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.19 / $126.19 / $126.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.66 / $312.58 / $312.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.62 / $144.81 / $306.35