go back

Maine 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
Professional
Modifier
Low / Median / High Price
$468.61 / $536.30 / $575.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.61 / $596.09 / $981.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.91 / $617.85 / $1,138.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.74 / $841.76 / $1,467.95
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.61 / $495.80 / $575.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.94 / $667.85 / $1,036.05