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California 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.19 / $572.16 / $572.16
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$714.64 / $714.64 / $3,234.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.08 / $691.08 / $691.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.70 / $672.95 / $908.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.67 / $685.94 / $1,590.13
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.76 / $2,726.38 / $2,962.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.29 / $735.34 / $1,037.00