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Wyoming 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
$117.01 / $131.79 / $155.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.00 / $217.00 / $217.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.30 / $187.63 / $377.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.29 / $205.32 / $408.83