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Massachusetts 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
$116.51 / $116.51 / $1,810.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.52 / $122.75 / $184.59
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.52 / $1,564.67 / $1,564.67
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.67 / $208.22 / $1,165.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.39 / $363.33 / $608.96
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.79 / $229.18 / $301.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $462.00 / $462.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.56 / $183.31 / $344.84
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.05 / $123.09 / $217.45
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.68 / $278.77 / $370.30
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.79 / $202.79 / $202.79
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.52 / $1,564.67 / $1,564.67
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.67 / $208.22 / $1,165.68
Tufts
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.94 / $213.66 / $245.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.20 / $169.48 / $335.06