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New Mexico 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
$435.70 / $508.28 / $618.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$493.16 / $700.05 / $935.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $797.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.72 / $550.52 / $728.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.17 / $777.83 / $1,380.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.24 / $676.00 / $951.46