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Connecticut 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
Facility
Modifier
Low / Median / High Price
$1,299.45 / $1,299.45 / $1,299.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.39 / $514.73 / $853.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.94 / $783.34 / $1,145.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.96 / $661.40 / $1,395.26
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$572.35 / $723.22 / $1,055.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.14 / $629.49 / $1,305.28