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Wisconsin rates for HCPCS G0372

Physician Service Required To Establish And Document The Need For A Power Mobility Device (Use In Addition To Primary Evaluation And Management Code)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $13.41 / $13.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.61 / $10.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $14.10 / $30.30
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 / $24.61
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $8.88 / $17.37
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $10.82 / $10.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.47 / $8.88 / $17.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.29 / $20.41 / $69.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.15 / $58.40 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.95 / $8.88 / $17.37
Prevea360
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.82 / $10.82 / $10.82
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $20.51 / $28.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.39 / $17.43 / $80.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $44.95 / $69.31
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.17 / $26.63 / $30.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $18.20 / $33.71