go back

Arkansas 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
$415.47 / $474.63 / $570.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.26 / $650.20 / $722.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$591.74 / $591.74 / $591.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.28 / $572.29 / $841.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.66 / $481.48 / $809.52