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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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $831.76 / $831.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $1,047.13 / $2,290.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $977.24 / $1,412.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,288.25 / $1,621.81