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Georgia 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
$532.19 / $532.19 / $532.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.39 / $516.69 / $666.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $651.08 / $1,040.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.88 / $568.88 / $568.88
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.97 / $473.97 / $473.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.82 / $633.85 / $1,134.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.68 / $652.17 / $2,487.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.88 / $685.21 / $968.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.17 / $566.89 / $955.05