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Oregon 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
$116.51 / $134.02 / $279.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.98 / $227.95 / $316.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.59 / $252.49 / $305.44
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.18 / $189.94 / $299.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.58 / $217.62 / $310.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.58 / $234.50 / $242.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.02 / $197.38 / $309.77
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.48 / $252.94 / $326.16
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $262.06 / $339.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.84 / $238.39 / $365.90