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Wisconsin rates for RC 0804

Inpatient Renal Dialysis-Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $371.54 / $446.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $371.54 / $446.68