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Wisconsin rates for HCPCS G0166

External counterpulsation, per treatment session

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $102.33 / $158.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $199.53 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $151.36 / $371.54
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $218.78 / $281.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $245.47 / $724.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $85.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $251.19 / $446.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $489.78 / $1,047.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $263.03 / $354.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $234.42 / $467.74