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Wisconsin rates for HCPCS E1594

Cycler dialysis machine for peritoneal dialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $369.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.68 / $369.68 / $442.97
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.00 / $378.00 / $3,780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,408.05 / $1,408.05 / $1,408.05
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $554.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $768.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.68 / $369.68 / $517.54
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.00 / $1,408.05 / $1,408.05