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California rates for HCPCS 90964

Esrd Svc Home Dialysis Full Month 2-11 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.70 / $485.44 / $485.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.70 / $500.96 / $724.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.84 / $600.84 / $2,719.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.29 / $609.29 / $1,136.11
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.17 / $501.62 / $1,121.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.53 / $608.99 / $1,252.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.50 / $578.47 / $780.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.92 / $588.86 / $1,365.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.65 / $2,337.33 / $2,542.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,266.93 / $3,786.99 / $4,193.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.44 / $631.21 / $896.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.85 / $678.80 / $1,307.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.34 / $1,548.34 / $1,548.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.57 / $487.93 / $974.93