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Montana 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
$77.53 / $93.76 / $851.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $64,999.99 / $68,099.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.55 / $133.55 / $133.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.55 / $133.55 / $133.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.98 / $113.40 / $230.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.92 / $104.12 / $199.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.54 / $173.19 / $227.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.80 / $133.71 / $163.47