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Texas 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
$432.85 / $571.12 / $686.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.28 / $616.83 / $640.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.08 / $691.08 / $691.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.76 / $2,726.38 / $2,962.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.19 / $641.42 / $1,122.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$541.66 / $642.69 / $1,176.64