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Kansas 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
$1,179.08 / $1,179.08 / $1,179.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.24 / $538.45 / $1,179.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.86 / $655.13 / $655.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.61 / $626.36 / $972.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$475.95 / $614.34 / $1,179.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.96 / $663.70 / $3,786.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.44 / $602.40 / $951.46