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Washington, DC 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
$485.01 / $485.01 / $485.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.06 / $485.01 / $538.45
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.16 / $594.16 / $790.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.15 / $570.29 / $2,161.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.55 / $550.05 / $1,149.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.91 / $446.86 / $1,280.16