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Wisconsin rates for HCPCS 99284

Emergency Department Visit Moderate Mdm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.76 / $1,296.00 / $1,950.00
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$700.29 / $1,257.00 / $2,214.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $137.33 / $566.62
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$92.97 / $412.04 / $813.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.00 / $2,693.00 / $3,274.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.42 / $268.07 / $443.84
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.40 / $149.66 / $336.90
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.12 / $126.71 / $271.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.38 / $358.03 / $549.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.25 / $307.83 / $399.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.67 / $140.11 / $326.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.67 / $140.11 / $331.88
Medica
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$316.49 / $389.66 / $1,694.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.18 / $274.08 / $748.12
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$204.13 / $436.42 / $600.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.39 / $197.71 / $275.34
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.67 / $136.10 / $277.49
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.08 / $323.70 / $499.47
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$544.99 / $544.99 / $544.99
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.77 / $572.20 / $748.12
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.61 / $396.15 / $437.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.13 / $216.24 / $422.41