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Wisconsin rates for HCPCS G0491

Dialysis procedure at a Medicare certified ESRD facility for acute kidney injury without ESRD

Facilitymedian $1,072 · 10th–90th $912$1,4790%50%10th90th$1,072Professionalmedian $1,072 · 10th–90th $331$1,9500%50%10th90th$1,072$10.0$50.0$200.0$1.0K$5.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$1,071.52
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$60.26
Typical High
$81.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,071.52
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$147.91
Typical High
$229.09
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,000.00
Median
$1,071.52
Typical High
$1,479.11
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57