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Georgia 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
$620.09 / $620.09 / $620.09
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.51 / $680.51 / $680.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.08 / $691.08 / $691.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.25 / $760.83 / $3,143.00