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New Jersey 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
$488.17 / $488.17 / $906.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.39 / $488.17 / $618.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.15 / $613.53 / $1,063.45
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.55 / $683.41 / $985.25
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.44 / $555.92 / $926.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.11 / $487.93 / $889.19