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Nebraska rates for HCPCS 90964

Esrd Svc Home Dialysis Full Month 2-11 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.43 / $491.26 / $717.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.15 / $1,695.15 / $1,695.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.45 / $801.37 / $1,116.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.87 / $1,053.83 / $2,055.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.62 / $761.45 / $1,045.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.98 / $990.93 / $3,786.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.00 / $1,102.60 / $1,280.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.79 / $980.89 / $1,223.48
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.06 / $905.10 / $1,036.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.60 / $997.84 / $1,289.07