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Wisconsin rates for HCPCS 99281

Emergency Department Visit May Not Req Phys/Qhp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.54 / $198.10 / $693.84
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$247.21 / $350.00 / $377.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.00 / $459.00 / $561.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.78 / $14.12 / $21.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $33.70 / $51.69
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $19.69 / $62.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $21.01 / $63.92
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.75 / $19.69 / $62.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.35 / $32.15 / $69.72
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.00 / $176.00 / $176.00