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New Hampshire 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
Facility
Modifier
Low / Median / High Price
$514.92 / $514.92 / $514.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.25 / $178.05 / $380.67
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.70 / $181.70 / $181.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.01 / $236.59 / $333.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.29 / $285.64 / $524.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.14 / $337.71 / $694.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.75 / $268.24 / $515.19
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.99 / $169.05 / $252.23