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Vermont 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 / $126.12 / $652.03
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.55 / $161.55 / $437.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.73 / $170.00 / $505.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.69 / $173.60 / $437.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.18 / $167.83 / $511.79