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Florida 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
$373.81 / $373.81 / $373.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.99 / $500.96 / $652.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $1,374.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.65 / $599.58 / $1,028.45
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.18 / $441.82 / $597.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.78 / $583.46 / $875.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.10 / $473.20 / $761.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.22 / $394.22 / $515.33