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Idaho 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
Professional
Modifier
Low / Median / High Price
$474.57 / $541.57 / $724.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.53 / $776.04 / $989.78
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$552.24 / $724.61 / $927.50
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.06 / $874.00 / $998.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $735.61 / $925.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.15 / $721.35 / $863.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.57 / $645.12 / $878.80