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Wyoming 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 / $528.32 / $666.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$750.00 / $925.00 / $925.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.53 / $725.01 / $1,451.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.20 / $784.16 / $1,561.38