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Minnesota 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
$130.69 / $130.69 / $130.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.52 / $128.72 / $187.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.58 / $221.58 / $793.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.34 / $350.13 / $424.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.09 / $355.38 / $1,008.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.89 / $324.94 / $507.87
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.13 / $332.78 / $794.14
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.51 / $312.44 / $458.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.05 / $188.64 / $342.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.76 / $245.08 / $1,165.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.90 / $232.83 / $450.99