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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
$200.00 / $200.00 / $200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $375.00 / $450.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.00 / $375.00 / $500.00