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Wisconsin rates for HCPCS G0090

Individ. Psychotherapy Interactive 20-30 Minute Home Visit Evaluation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.38 / $325.38 / $325.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.48 / $325.38 / $417.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.20 / $561.53 / $991.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.25 / $972.99 / $1,105.68
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.38 / $362.37 / $488.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.38 / $488.07 / $1,918.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.94 / $496.31 / $1,248.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $58.40
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.38 / $362.37 / $488.07
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.94 / $855.06 / $1,110.23
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$670.90 / $670.90 / $1,918.67
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.52 / $289.52 / $289.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.94 / $529.39 / $1,267.08