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Arizona 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
Professional
Modifier
Low / Median / High Price
$111.22 / $122.34 / $161.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.54 / $112.54 / $112.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.30 / $194.32 / $194.32
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.61 / $110.41 / $128.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.91 / $134.66 / $268.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.72 / $134.10 / $251.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.69 / $131.56 / $1,165.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.66 / $125.30 / $219.49