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Iowa 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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.90 / $866.09 / $2,203.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.24 / $1,169.61 / $1,489.50
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.68 / $1,260.83 / $1,495.23