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Wisconsin rates for HCPCS 90968

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age

Facilitymedian $19 · 10th–90th $16–$520%10%20%10th90th$19Professionalmedian $18 · 10th–90th $15–$500%20%10th90th$18$0.2$1.0$5.0$20.0$100.0

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
$18.20 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $23.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $24.55 / $58.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $52.48 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $40.74 / $50.12
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $18.62 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $35.48 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $18.62 / $34.67
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $26.92 / $134.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $64.57
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $29.51 / $44.67
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $40.74 / $58.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $39.81 / $109.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $63.10 / $134.90
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.18 / $60.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $18.62 / $18.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.99 / $48.98