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Missouri 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
$467.74 / $537.03 / $1,202.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $524.81 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $645.65 / $912.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $616.60 / $1,023.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $676.08 / $1,230.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $645.65 / $3,801.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $549.54 / $912.01