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Arkansas rates for HCPCS 90964

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 2-11 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
Professional
Modifier
Low / Median / High Price
$435.70 / $493.83 / $600.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.79 / $682.67 / $758.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$621.96 / $621.96 / $621.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.02 / $594.57 / $875.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.74 / $508.73 / $843.45