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Wisconsin rates for HCPCS 90953

End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $794.33 / $1,819.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,445.44 / $2,344.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,047.13 / $1,513.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $562.34 / $812.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $562.34 / $1,096.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $691.83 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $478.63
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,348.96 / $1,905.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,288.25 / $1,288.25 / $3,548.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $1,778.28 / $3,890.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $602.56 / $1,258.93