go back

Vermont 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
$449.06 / $449.43 / $2,495.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.44 / $691.72 / $2,161.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$503.18 / $664.59 / $1,869.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.53 / $672.83 / $1,955.95