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Wisconsin rates for HCPCS G0372

Physician service required to establish and document the need for a power mobility device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $7.94 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $10.96 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $26.30 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $9.55 / $25.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $9.33 / $17.38
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.20 / $25.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $9.55 / $19.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $15.85 / $69.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $18.20 / $28.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $17.38 / $79.43
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $19.50 / $70.79
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $13.80 / $30.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.59 / $27.54