go back

Idaho 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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$631.71 / $853.49 / $1,082.11