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Physical Therapy Maintenance Program in Home Health

Wisconsin rates for HCPCS G0159

Services performed by a qualified physical therapist, in the home health setting, in the establishment or delivery of a safe and effective physical therapy maintenance program, each 15 minutes

Rates data updated July 2026.

How much does Physical Therapy Maintenance Program in Home Health cost?

$22.39

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $22.39 for this service. The price depends on where it is billed: about $22.39 from a physician practice, and about $22.39 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$22.39$22.39 to $22.39
FacilityA hospital or hospital-owned outpatient department$22.39$22.39 to $39.81

How much rates vary

Facilitymedian $22 · 10th to 90th $22 to $79Professionalmedian $22 · 10th to 90th $22 to $115
$50$100$200facility $22professional $22

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$22.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$128.82
Typical High
$144.54
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$39.81
Medica
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$79.43
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$85.11
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$22.39
Median
$22.39
Typical High
$39.81
Quartz
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$104.71
Typical High
$199.53
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Professional
Modifier
Global
Typical Low
$15.85
Median
$15.85
Typical High
$15.85

Where Wisconsin sits

The same service costs 15.1 times more in Montana than in Massachusetts. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 44th of 50

$22.39

MT $79.43MA $5.25

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.