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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

Facilitymedian $692 · 10th–90th $501–$1,0960%10%10th90th$692Professionalmedian $603 · 10th–90th $468–$1,0470%10%10th90th$603$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $537.03 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$912.01 / $912.01 / $933.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,000.00 / $1,047.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $724.44 / $954.99
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $691.83 / $1,096.48
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$602.56 / $933.25 / $1,174.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $724.44 / $1,023.29
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $524.81 / $831.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $891.25