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Wisconsin rates for HCPCS D0170

Re-Evaluation - Limited, Problem Focused (Established Patient; Not Post-Operative Visit)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.05 / $26.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $27.54 / $66.07
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $20.89 / $34.67
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $10.96 / $10.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.98 / $21.38 / $41.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $48.98 / $72.44
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $218.78
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $194.98 / $194.98
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $36.31 / $43.65