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Peritoneal Dialysis Physician Evaluation (Per Day)

New Jersey 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 $120 · 10th–90th $120$2190%50%90th$120Professionalmedian $129 · 10th–90th $100$2240%20%10th90th$129$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$120.23
Median
$120.23
Typical High
$218.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$123.03
Typical High
$151.36
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$97.72
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$154.88
Typical High
$275.42
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$147.91
Typical High
$223.87
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$138.04
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$131.83
Typical High
$239.88