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Wisconsin rates for HCPCS G9005

Coordinated care fee risk adjusted maintenance

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.10 / $232.10 / $232.10
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.63 / $55.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.02
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $65.00 / $65.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.10 / $232.10 / $232.10