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Rhode Island 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 / $117.02 / $169.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.71 / $251.86 / $279.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.02 / $137.78 / $189.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $462.00 / $553.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.62 / $170.63 / $332.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.78 / $151.13 / $249.53