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Louisiana 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
$590.69 / $590.69 / $590.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.70 / $539.46 / $743.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.29 / $594.40 / $846.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.32 / $525.96 / $525.96
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 / $593.38 / $1,090.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.14 / $476.36 / $833.63