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Wisconsin rates for HCPCS G0425

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth

Facilitymedian $120 · 10th–90th $79$2690%10%10th90th$120Professionalmedian $107 · 10th–90th $78$2630%10%10th90th$107$1.0$5.0$20.0$100.0$500.0

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
$83.18 / $141.25 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $93.33 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$97.72 / $144.54 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $275.42 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $123.03 / $263.03
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $194.98
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $194.98 / $269.15
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $109.65 / $194.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $169.82 / $616.60
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
$93.33 / $134.90 / $234.42
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $199.53 / $288.40
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $169.82 / $169.82
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $489.78 / $616.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $181.97 / $181.97
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$162.18 / $229.09 / $309.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $154.88 / $309.03