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Peritoneal Dialysis Physician Evaluation (Per Day)

Montana rates for HCPCS 90947

A physician's evaluation of a patient receiving a dialysis treatment method other than standard hemodialysis, most often peritoneal dialysis, billed for a single day rather than as part of a monthly bundle. It reflects multiple evaluations by the physician during that day's dialysis-related care, rather than just one.

Rates data updated July 2026.

Facilitymedian $204 · 10th–90th $135$2690%20%40%10th90th$204Professionalmedian $123 · 10th–90th $112$2090%20%40%10th90th$123$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$117.49
Typical High
$165.96
BCBS
Setting
Facility
Modifier
Global
Typical Low
$66,069.34
Median
$66,069.34
Typical High
$66,069.34
BCBS
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$165.96
Typical High
$363.08
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$204.17
Median
$204.17
Typical High
$234.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$123.03
Median
$177.83
Typical High
$316.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$194.98
Typical High
$323.59
United
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$194.98
Typical High
$239.88