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Wisconsin rates for HCPCS G0155

Services of clinical social worker in home health or hospice settings, each 15 minutes

Facilitymedian $126 · 10th–90th $8–$1290%50%10th90th$126Professionalmedian $30 · 10th–90th $11–$1020%50%10th90th$30$10.0$20.0$50.0$100.0$200.0$500.0

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $30.20 / $30.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $131.83 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $114.82 / $131.83
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $30.90 / $54.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $54.95 / $125.89
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $128.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$128.82 / $128.82 / $128.82
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $28.18 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $11.22