go back

Maine rates for HCPCS 90947

Dialysis Oth/Thn Hemodialy Repeat Phys/Qhp Evals

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.01 / $129.76 / $187.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.03 / $142.11 / $230.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.44 / $139.44 / $139.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.36 / $153.33 / $269.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.41 / $197.90 / $345.12
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.62 / $130.69 / $187.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $169.79 / $273.79