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Minnesota 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
$645.65 / $645.65 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $2,137.96 / $5,248.07
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $4,168.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,698.24