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Wisconsin rates for HCPCS 90969

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age

Facilitymedian $19 · 10th–90th $15$590%10%10th90th$19Professionalmedian $18 · 10th–90th $15$480%10%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 / $61.66 / $61.66
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.99 / $56.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $51.29 / $83.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $39.81 / $48.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $33.88
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $34.67 / $47.86
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $18.20 / $33.88
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $25.70 / $123.03
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
$18.62 / $28.84 / $43.65
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $39.81 / $57.54
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $38.90 / $107.15
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $61.66 / $123.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $20.42 / $20.42
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $27.54 / $58.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $22.91 / $46.77