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Wisconsin rates for HCPCS G2211

Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to home or residence or office/outpatient evaluation and management service, new or established)

Facilitymedian $18 · 10th–90th $13–$580%20%10th90th$18Professionalmedian $16 · 10th–90th $13–$540%20%10th90th$16$0.0$0.1$0.5$2.0$10.0$50.0

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
$13.80 / $16.60 / $53.70
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $15.85 / $53.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $23.44 / $46.77
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.48 / $11.75
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $50.12 / $81.28
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $23.44 / $46.77
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $15.14 / $22.39
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $30.20 / $45.71
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $16.98 / $50.12
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $30.90 / $97.72
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
$12.02 / $16.22 / $26.30
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $27.54 / $48.98
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $81.28
Quartz
Facility/Professional
Facility
Modifier
AS
Typical Low / Median / Typical High
$3.02 / $3.02 / $8.13
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $67.61 / $93.33
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $33.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $27.54 / $53.70