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Massachusetts rates for HCPCS 90964

Esrd Svc Home Dialysis Full Month 2-11 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$449.06 / $449.06 / $449.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.39 / $485.01 / $652.01
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.65 / $2,542.82 / $2,542.82
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.98 / $832.90 / $3,786.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.61 / $733.77 / $1,457.73
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.63 / $496.63 / $922.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$632.41 / $1,185.79 / $1,575.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.65 / $2,542.82 / $2,542.82
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.36 / $802.91 / $3,786.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.75 / $658.53 / $1,339.95