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Wisconsin rates for HCPCS G0250

Physician review, interpretation, and patient management of home INR testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets Medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include four tests

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