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Wisconsin rates for HCPCS G0467

A Federally Qualified Health Center (Fqhc) Visit Established Patient

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.10 / $96.10 / $96.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.13 / $96.10 / $188.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $20.93 / $20.93
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.38 / $96.10 / $105.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.00 / $96.10 / $120.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $65.00 / $188.29
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.38 / $96.10 / $120.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $20.93 / $20.93