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Massachusetts 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
$446.68 / $446.68 / $446.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $1,148.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $1,479.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$549.54 / $549.54 / $549.54
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $537.03 / $1,000.00
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,023.29 / $1,479.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,235.94 / $3,235.94
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $707.95 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $707.95 / $1,445.44