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Virginia 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 / $500.96 / $618.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.75 / $589.41 / $898.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$534.75 / $594.16 / $1,096.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.85 / $591.85 / $591.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.53 / $593.41 / $1,047.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.55 / $566.48 / $791.71
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.74 / $558.16 / $854.85
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.00 / $674.00 / $919.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.60 / $589.78 / $921.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.60 / $589.78 / $921.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.55 / $520.50 / $816.38