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Illinois 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
$851.14 / $851.14 / $851.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $2,041.74 / $3,090.30
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $1,778.28 / $2,454.71
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00