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North Carolina 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
$602.71 / $602.71 / $602.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.08 / $691.08 / $691.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.16 / $632.65 / $915.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.76 / $2,962.01 / $2,962.01