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Nebraska 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.15 / $1,695.15 / $1,695.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$556.86 / $888.27 / $1,213.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.00 / $1,260.83 / $1,495.23