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Oklahoma 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
$395.06 / $474.57 / $600.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.31 / $610.41 / $802.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.65 / $557.77 / $859.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.74 / $560.99 / $3,786.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.34 / $509.72 / $741.65