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North Carolina 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
$122.18 / $122.18 / $122.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.50 / $122.18 / $187.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.89 / $122.42 / $216.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.84 / $225.42 / $294.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.44 / $139.44 / $657.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.72 / $172.27 / $292.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.30 / $146.62 / $226.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.00 / $156.00 / $294.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.90 / $187.80 / $246.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.21 / $127.93 / $233.47
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.52 / $1,564.67 / $1,564.67
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.68 / $1,165.68 / $1,165.68