go back

Wisconsin rates for HCPCS 90953

Esrd Related Svc Monthly <2 Yr Old 1 Visit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.52 / $595.52 / $595.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.68 / $546.11 / $652.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.64 / $659.33 / $1,804.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,245.34 / $1,455.29 / $2,232.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.33 / $1,081.83 / $1,477.60
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.45 / $584.60 / $833.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.45 / $584.60 / $1,107.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.55 / $690.01 / $3,895.19
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.40 / $70.00 / $480.89
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.45 / $565.27 / $833.73
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$897.38 / $1,295.78 / $1,817.42
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $1,117.90 / $2,543.21
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.09 / $2,372.67 / $3,895.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.55 / $658.30 / $1,414.48