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Indiana 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
$414.66 / $500.96 / $610.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.99 / $438.75 / $592.30
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.15 / $572.58 / $668.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.15 / $548.72 / $691.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.44 / $575.46 / $905.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.60 / $487.93 / $691.69