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Wisconsin rates for HCPCS 99285

Emergency Department Visit High Mdm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.88 / $1,817.47 / $2,278.71
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$931.83 / $1,927.68 / $3,469.40
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$148.91 / $498.33 / $986.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,592.00 / $2,693.00 / $3,274.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.94 / $217.14 / $496.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.25 / $519.14 / $796.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.91 / $200.22 / $480.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.91 / $206.76 / $481.72
Medica
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$3,540.25 / $3,540.25 / $3,540.25
Medica
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$277.14 / $632.66 / $1,030.50
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.91 / $195.00 / $404.17
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.82 / $469.38 / $723.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$790.22 / $790.22 / $790.22