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West Virginia 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
$97.40 / $120.79 / $155.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.90 / $142.56 / $155.32
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.90 / $130.68 / $138.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.44 / $139.44 / $139.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.39 / $138.06 / $254.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.22 / $125.56 / $182.93