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Mississippi 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 / $130.57 / $237.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.00 / $168.00 / $610.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.00 / $179.00 / $179.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $154.65 / $232.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.55 / $127.76 / $217.19