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Wisconsin rates for HCPCS 90945

Dialysis Other/Than Hemodialysis 1 Phys/Qhp Eval

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.41 / $319.60 / $319.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.53 / $92.03 / $815.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.00 / $303.00 / $1,475.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $105.51 / $284.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.62 / $100.78 / $126.77
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.23 / $98.96 / $126.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $262.20 / $402.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.78 / $194.52 / $301.12
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.70 / $98.15 / $199.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.65 / $100.68 / $224.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.45 / $150.97 / $746.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.78 / $96.23 / $203.71
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.65 / $98.15 / $199.25
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.78 / $202.72 / $282.70
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.79 / $202.65 / $632.91
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.22 / $422.00 / $746.29
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.25 / $461.25 / $461.25
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.88 / $166.75 / $298.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $156.13 / $391.39