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Alaska rates for HCPCS 90965

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 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
$496.41 / $520.36 / $1,127.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.35 / $695.37 / $1,670.25
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.57 / $1,127.67 / $1,833.84
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.48 / $1,548.79 / $3,568.13
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.95 / $1,999.35 / $2,690.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.57 / $1,127.67 / $1,833.84
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.28 / $1,327.08 / $2,562.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.48 / $1,264.72 / $3,507.20