go back

Connecticut 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
$1,258.93 / $1,258.93 / $1,258.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $501.19 / $870.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $776.25 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $1,348.96
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $776.25 / $1,023.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $549.54 / $1,148.15