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Arizona 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
$407.39 / $494.56 / $618.26
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.60 / $789.82 / $789.82
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.09 / $469.82 / $546.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.90 / $545.39 / $1,028.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$472.00 / $541.96 / $965.67
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.07 / $514.54 / $3,786.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.60 / $486.72 / $853.41