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Connecticut 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
$304.14 / $304.14 / $304.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.52 / $131.85 / $235.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.34 / $189.71 / $303.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.79 / $410.52 / $410.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $170.63 / $352.51
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.46 / $177.35 / $248.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.28 / $160.59 / $314.19