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Delaware 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
$321.37 / $321.37 / $2,132.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.16 / $125.05 / $187.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.34 / $132.08 / $218.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.66 / $122.64 / $216.28