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Wisconsin rates for HCPCS G0129

Php/Iop Ot Service

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $214.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.83 / $20.83 / $20.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.50 / $22.29 / $24.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $70.00 / $85.00
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $31.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.83 / $20.83 / $37.49
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $70.00 / $126.53