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North Dakota 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
$477.52 / $477.52 / $477.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.52 / $520.27 / $610.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.22 / $1,194.36 / $1,309.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.40 / $1,036.49 / $1,670.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.52 / $729.02 / $1,021.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.88 / $812.44 / $3,786.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.27 / $683.10 / $1,035.43