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Pennsylvania rates for HCPCS 90961

End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.83 / $277.83 / $277.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.21 / $291.45 / $469.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.18 / $288.64 / $498.81
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.49 / $304.57 / $468.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.08 / $333.08 / $333.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.40 / $306.88 / $525.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$642.39 / $642.39 / $642.39
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.76 / $401.43 / $600.76
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.12 / $346.88 / $455.84
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.21 / $315.47 / $588.03
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.89 / $256.89 / $256.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.89 / $415.70 / $591.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.08 / $333.08 / $333.08
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.40 / $306.20 / $515.34
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.02 / $286.02 / $286.02
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.61 / $286.02 / $298.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.64 / $255.91 / $411.57