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Arizona rates for HCPCS 90963

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.04 / $946.98 / $946.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.77 / $632.24 / $1,126.53