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Nationwide rates for HCPCS 90947

Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified health care professional, with or without substantial revision of dialysis prescription

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $218.78 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $128.82 / $275.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $173.78 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $138.04 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $199.53 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $158.49 / $323.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $97.72 / $138.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $239.88