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Occupational Therapy Maintenance Program in Home Health

Wisconsin rates for HCPCS G0160

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

Rates data updated July 2026.

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

$21.38

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $21.38 for this service. The price depends on where it is billed: about $21.38 from a physician practice, and about $21.38 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$21.38$21.38 to $21.38
FacilityA hospital or hospital-owned outpatient department$21.38$21.38 to $38.02

How much rates vary

Facilitymedian $21 · 10th to 90th $21 to $79Professionalmedian $21 · 10th to 90th $21 to $21
$20$50$100facility $21professional $21

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
$21.38
Median
$21.38
Typical High
$21.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$21.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$457.09
Median
$457.09
Typical High
$457.09
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
Typical High
$38.02
Medica
Setting
Facility
Modifier
Global
Typical Low
$21.38
Median
$21.38
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
$21.38
Median
$21.38
Typical High
$38.02
Quartz
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$100.00
Typical High
$173.78
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
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 Rhode Island. 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· 18th of 50

$21.38

MT $79.43RI $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.