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Idaho 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
$117.01 / $130.60 / $171.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.71 / $186.19 / $236.96
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.47 / $175.15 / $247.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.26 / $205.49 / $234.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $173.07 / $217.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.85 / $169.24 / $202.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.89 / $166.38 / $235.30