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Wisconsin rates for HCPCS Q5003

Hospice care provided in nursing long-term care facility (LTC) or nonskilled nursing facility (NF)

Facilitymedian $132 · 10th–90th $100–$2000%50%10th90th$132Professionalmedian $132 · 10th–90th $107–$1320%50%10th$132$10.0$20.0$50.0$100.0$200.0

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
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $131.83 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $42.66 / $53.70
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $131.83 / $186.21
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $8.32 / $10.72
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $131.83 / $199.53
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $58.88 / $70.79
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $100.00 / $100.00