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Nebraska 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
$115.19 / $117.01 / $171.13
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.25 / $287.25 / $287.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.19 / $2,120.75 / $2,120.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.09 / $187.90 / $261.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.08 / $246.82 / $480.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.02 / $194.67 / $277.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.91 / $235.93 / $1,165.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.38 / $279.49 / $318.58
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.00 / $249.52 / $310.39
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.69 / $153.69 / $318.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.71 / $235.93 / $289.13