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Wisconsin rates for HCPCS 99474

Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional, with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient

Professionalmedian $12 · 10th–90th $7–$320%10%10th90th$12$5.0$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $10.96 / $15.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $18.20 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $28.84 / $47.86
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $23.44 / $43.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $30.20 / $93.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $15.85 / $30.90
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $23.44 / $43.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $31.62 / $93.33
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $10.72 / $18.20
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $25.12 / $58.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $19.05 / $36.31