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Florida 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
$97.40 / $97.40 / $97.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.03 / $122.18 / $168.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.31 / $117.63 / $224.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.00 / $130.00 / $150.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.75 / $148.88 / $254.89
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.50 / $157.50 / $225.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.62 / $109.41 / $145.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.20 / $140.82 / $208.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.80 / $120.50 / $199.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.68 / $92.68 / $121.59