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Wisconsin rates for HCPCS G0505

Cog/func assessment outpt

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $776.25 / $1,148.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $245.47 / $309.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $416.87 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.88 / $58.88 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $977.24 / $977.24