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Washington, DC 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
$113.50 / $113.50 / $113.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.91 / $116.51 / $156.74
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.94 / $158.94 / $208.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.14 / $145.11 / $505.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.51 / $128.83 / $268.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.43 / $116.74 / $323.20