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Pennsylvania rates for HCPCS 90963

Esrd Svc Home Dialysis Full Month <2yr Old

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.15 / $576.15 / $576.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.08 / $691.08 / $691.08
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,312.31 / $1,312.31 / $1,312.31
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.08 / $691.08 / $691.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$592.70 / $592.70 / $592.70