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Wisconsin rates for HCPCS 90956

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 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
$371.54 / $1,288.25 / $1,288.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $346.74 / $489.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $1,148.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$912.01 / $1,071.52 / $1,698.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $724.44 / $1,023.29
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $371.54 / $630.96
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $724.44 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $371.54 / $707.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $512.86 / $2,511.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $851.14 / $1,202.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $2,187.76
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $1,548.82 / $2,511.89
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $588.84 / $1,230.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $977.24