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Wisconsin rates for HCPCS G0158

Services performed by a qualified occupational therapist assistant in the home health or hospice setting, each 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $23.17 / $23.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $23.17 / $23.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $22.00 / $22.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $70.50 / $88.13
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $23.17 / $41.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $23.17 / $80.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.17 / $23.17 / $41.71
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $175.00 / $175.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $16.39 / $16.39
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.70 / $21.56 / $22.00