go back

California 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
Facility
Modifier
Low / Median / High Price
$415.47 / $462.83 / $462.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.47 / $480.66 / $696.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.73 / $572.73 / $2,591.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.93 / $582.03 / $1,082.94
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.51 / $477.31 / $1,067.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.59 / $579.14 / $1,198.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.00 / $557.75 / $752.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.69 / $567.44 / $1,210.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.63 / $2,251.03 / $2,450.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,139.86 / $3,624.69 / $4,041.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.14 / $608.91 / $873.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.39 / $648.53 / $1,252.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,480.13 / $1,480.13 / $1,480.13
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.00 / $450.68 / $619.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.11 / $466.28 / $991.93