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Montana rates for HCPCS 90962

End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.98 / $186.06 / $382.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.88 / $316.52 / $316.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.52 / $316.52 / $316.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.33 / $251.65 / $546.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.48 / $235.82 / $401.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.42 / $410.55 / $534.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.27 / $292.88 / $345.80