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Virginia 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.08 / $691.08 / $691.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.87 / $660.77 / $943.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.54 / $649.16 / $990.91
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$576.74 / $682.29 / $1,073.47