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Peritoneal Dialysis Physician Evaluation (Per Day)

Wisconsin rates for HCPCS 90947

A physician's evaluation of a patient receiving a dialysis treatment method other than standard hemodialysis, most often peritoneal dialysis, billed for a single day rather than as part of a monthly bundle. It reflects multiple evaluations by the physician during that day's dialysis-related care, rather than just one.

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $112$3720%10%10th90th$155Professionalmedian $155 · 10th–90th $112$4570%10%10th90th$155$2.0$10.0$50.0$200.0$1.0K

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
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$446.68
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$128.82
Typical High
$275.42
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$173.78
Typical High
$436.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$371.54
Typical High
$537.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$295.12
Typical High
$354.81
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$309.03
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$213.80
Median
$251.19
Typical High
$363.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$151.36
Typical High
$346.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$218.78
Typical High
$1,174.90
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$218.78
Typical High
$316.23
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$112.20
Median
$144.54
Typical High
$309.03
Quartz
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$354.81
Quartz
Setting
Facility
Modifier
Global
Typical Low
$199.53
Median
$281.84
Typical High
$1,548.82
Quartz
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$616.60
Typical High
$1,202.26
Security Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$147.91
Typical High
$147.91
Security Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$251.19
Typical High
$426.58
United
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$144.54
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$194.98
Typical High
$512.86