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Wisconsin rates for HCPCS 90954

End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.22 / $3,707.08 / $3,707.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.85 / $982.11 / $1,184.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.76 / $1,241.88 / $3,177.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,615.94 / $3,056.95 / $4,689.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$953.98 / $2,243.14 / $2,879.85
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$771.29 / $1,016.37 / $1,810.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$809.55 / $1,041.90 / $1,987.59
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.59 / $1,372.29 / $6,762.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.01 / $959.94 / $2,011.11
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.93 / $1,016.37 / $1,823.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,495.63 / $2,280.61 / $3,279.10
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.68 / $2,006.08 / $4,512.68
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,017.70 / $4,276.80 / $6,762.49
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.50 / $1,529.86 / $3,500.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.14 / $1,239.13 / $2,944.53