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Wisconsin rates for HCPCS G0249

Provision Of Test Materials And Equipment For Home Inr Monitoring To Patient With Mechanical Heart Valve(S) Who Meets Medicare Coverage Criteria; Includes Provision Of Materials For Use In The Home And Reporting Of Test Results To Physician; Per 4 Tests.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.27 / $93.28 / $93.28
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$22.81 / $22.81 / $22.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.65 / $107.70 / $250.35
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.99 / $57.99 / $57.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $90.00 / $189.01
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $98.70 / $98.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.56 / $64.33 / $121.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.00 / $61.91 / $130.01
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $98.70 / $98.70
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $148.29 / $206.80
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.95 / $55.95 / $55.95
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.35 / $447.30 / $447.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $49.27 / $112.43