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Tennessee 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
$113.16 / $122.75 / $187.56
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.08 / $111.75 / $216.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.14 / $146.46 / $247.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.17 / $191.00 / $315.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.16 / $151.16 / $278.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.52 / $321.38 / $1,564.67
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.68 / $1,165.68 / $1,165.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.59 / $133.63 / $227.36