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Kentucky 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
$121.15 / $121.15 / $123.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.91 / $121.15 / $184.59
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.85 / $113.20 / $113.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.09 / $118.94 / $169.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.84 / $140.59 / $182.82
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.65 / $152.82 / $226.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.44 / $139.44 / $264.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.33 / $140.75 / $230.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $147.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $127.76 / $235.85