go back

Arizona 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
$387.50 / $475.48 / $593.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.77 / $751.01 / $751.01
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.89 / $452.44 / $525.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.97 / $522.28 / $983.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.85 / $521.87 / $929.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.85 / $489.59 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.34 / $466.28 / $855.05