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Missouri 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
$588.00 / $588.00 / $588.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.11 / $95.93 / $478.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.34 / $95.44 / $118.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.77 / $254.00 / $392.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.08 / $97.85 / $139.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $295.16 / $510.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.77 / $104.99 / $181.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.34 / $110.46 / $203.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.45 / $110.08 / $746.29
Qualchoice
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.01 / $153.01 / $153.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $98.92 / $169.10