go back

Massachusetts 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
$514.91 / $514.91 / $515.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.76 / $2,962.01 / $2,962.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.76 / $2,962.01 / $2,962.01