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Wisconsin rates for HCPCS 90958

End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month

Facilitymedian $550 · 10th–90th $457–$1,6220%10%20%10th90th$550Professionalmedian $537 · 10th–90th $417–$1,4450%10%20%10th90th$537$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $1,862.09 / $1,862.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $501.19 / $691.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $707.95 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,513.56 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $1,174.90 / $1,445.44
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $537.03 / $1,023.29
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,023.29 / $1,412.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $537.03 / $1,023.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $758.58 / $3,630.78
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$549.54 / $851.14 / $1,288.25
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$776.25 / $1,174.90 / $1,698.24
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $1,148.15 / $3,162.28
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $1,819.70 / $3,630.78
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $812.83 / $1,737.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $660.69 / $1,348.96