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Wisconsin rates for HCPCS G0426

Telehealth Consultation Emergency Department Or Initial Inpatient Typically 50 Minutes Communicating With The Patient Via Telehealth (Revised 010112)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.75 / $198.52 / $198.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.61 / $125.36 / $222.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.06 / $206.99 / $415.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.82 / $395.94 / $607.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.76 / $179.55 / $363.43
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.34 / $140.40 / $265.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.66 / $143.51 / $275.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.28 / $248.65 / $827.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.39 / $140.18 / $274.69
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.34 / $138.47 / $261.66
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.40 / $311.27 / $441.75
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.76 / $661.80 / $827.90
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.24 / $402.65 / $436.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.03 / $266.04 / $511.03