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Wisconsin rates for HCPCS G0296

Counseling visit to discuss need for lung cancer screening using low dose CT scan (LDCT) (service is for eligibility determination and shared decision making)

Facilitymedian $29 · 10th–90th $23–$720%10%20%10th90th$29Professionalmedian $32 · 10th–90th $22–$950%10%10th90th$32$20.0$50.0$100.0$200.0$500.0$1.0K

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
$22.91 / $39.81 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $26.92 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $45.71 / $87.10
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $30.90 / $44.67
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $33.11 / $61.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$66.07 / $87.10 / $138.04
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $34.67 / $74.13
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $28.18 / $52.48
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $57.54 / $74.13
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $28.18 / $69.18
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $50.12 / $177.83
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $38.90 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $54.95 / $83.18
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $1,380.38
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $60.26 / $177.83
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $33.88
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $44.67 / $57.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $64.57 / $79.43