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Michigan 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
$711.90 / $711.90 / $711.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.86 / $896.86 / $896.86
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$532.65 / $532.65 / $711.90