go back

Maine 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
Professional
Modifier
Low / Median / High Price
$78.09 / $89.62 / $134.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.20 / $348.75 / $970.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.75 / $100.62 / $161.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.79 / $96.79 / $96.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.08 / $105.94 / $186.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.17 / $140.12 / $244.35
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.09 / $92.03 / $160.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.24 / $114.77 / $178.36