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North Dakota 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
$124.97 / $124.97 / $124.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.62 / $128.11 / $187.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.68 / $280.80 / $307.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.10 / $245.12 / $390.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.28 / $195.82 / $288.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.53 / $209.39 / $1,165.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.76 / $186.78 / $269.72