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Wisconsin rates for HCPCS G0175

Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present

Facilitymedian $66 · 10th–90th $66–$910%50%90th$66Professionalmedian $65 · 10th–90th $65–$650%50%$65$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $64.57 / $77.62
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $89.13
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $27.54 / $39.81
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $100.00
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $85.11
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$91.20 / $91.20 / $154.88