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Ongoing Blood-Thinner Management, Later Months

Wisconsin rates for HCPCS 99364

This covers the ongoing work involved in managing a patient's warfarin (a blood-thinning medication) for each additional three-month period after the first, in the outpatient setting. It includes reviewing regular blood clotting test results, adjusting the medication dose as needed, giving the patient instructions, and ordering follow-up testing. This reflects the continued coordination needed to keep the blood-thinning level in a safe range over the long term.

Rates data updated July 2026.

How much does Ongoing Blood-Thinner Management, Later Months cost?

$74.13

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $74.13 for this service. The price depends on where it is billed: about $85.11 from a physician practice, and about $64.57 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$85.11$61.66 to $117
FacilityA hospital or hospital-owned outpatient department$64.57$40.74 to $89.13

How much rates vary

Facilitymedian $65 · 10th to 90th $36 to $145Professionalmedian $85 · 10th to 90th $55 to $200
$50$100$200facility $65professional $85

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$74.13
Typical High
$109.65
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$53.70
Typical High
$89.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$199.53
Typical High
$199.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$89.13
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$162.18
Quartz
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$199.53
Typical High
$199.53

Where Wisconsin sits

The same service costs 4.8 times more in Tennessee than in New Hampshire. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 33rd of 49

$74.13

TN $200NH $41.69

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.