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Arkansas rates for HCPCS 90945

Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.81 / $104.81 / $104.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $93.76 / $981.60
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.76 / $121.60 / $134.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.33 / $122.20 / $135.78
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.23 / $108.43 / $121.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.45 / $98.96 / $185.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $152.47 / $285.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.33 / $106.67 / $157.00
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.84 / $139.84 / $153.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $89.95 / $150.44