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Colorado 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
$110.91 / $120.79 / $155.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.02 / $162.36 / $237.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $139.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.79 / $156.69 / $242.70
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.73 / $160.29 / $224.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.54 / $172.16 / $237.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.83 / $168.70 / $275.92