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Oklahoma 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
$111.22 / $117.01 / $165.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.31 / $107.31 / $119.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.61 / $690.96 / $1,057.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.40 / $161.88 / $193.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.00 / $285.00 / $285.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.88 / $149.58 / $205.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.33 / $145.87 / $216.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.48 / $137.28 / $1,165.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.21 / $127.76 / $208.25