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Wisconsin rates for HCPCS 90959

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 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
$347.99 / $1,210.66 / $1,210.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.16 / $325.51 / $416.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.13 / $400.81 / $1,057.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$854.26 / $998.27 / $1,531.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.33 / $735.57 / $1,088.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.94 / $349.18 / $642.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.94 / $349.18 / $663.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.06 / $479.26 / $2,326.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.52 / $288.69 / $611.15
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.94 / $347.99 / $649.11
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.86 / $750.47 / $1,070.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.09 / $655.14 / $1,472.94
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.18 / $1,452.30 / $2,326.30
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.87 / $572.14 / $1,137.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.39 / $468.72 / $971.04