go back

Kentucky 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
$513.40 / $513.40 / $523.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.38 / $500.96 / $610.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.99 / $432.94 / $658.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.37 / $595.59 / $774.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.75 / $623.40 / $791.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.33 / $559.92 / $919.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $623.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.28 / $503.94 / $921.46