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Minnesota 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
$559.39 / $559.39 / $559.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.65 / $495.80 / $666.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$942.46 / $942.46 / $1,570.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.09 / $1,492.42 / $1,810.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.10 / $1,526.83 / $4,333.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$721.03 / $1,389.96 / $2,172.48
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.47 / $1,429.73 / $3,411.85
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$896.19 / $1,336.50 / $1,963.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$488.38 / $805.83 / $1,416.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.93 / $953.18 / $3,786.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.20 / $889.30 / $1,662.28