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Wisconsin rates for HCPCS G0250

Physician Review Interpretation And Patient Management Of Home Inr Testing For A Patient With Mechanical Heart Valve(S) Who Meets Other Coverage Criteria; Per 4 Tests (Does Not Require Face-To-Faces Ervice)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.03 / $13.45 / $13.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.89 / $8.42 / $13.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $13.19 / $36.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $26.33 / $34.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $11.91 / $25.18
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $9.24 / $16.52
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.43 / $9.24 / $17.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $17.37 / $52.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.06 / $65.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $9.24 / $17.42
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.11 / $7.11 / $7.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $20.51 / $28.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $16.66 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $45.05 / $52.65
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.17 / $47.55 / $59.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $18.64 / $34.79