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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
$1,250.38 / $1,250.38 / $1,250.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.50 / $494.64 / $812.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.74 / $751.17 / $1,091.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.96 / $627.29 / $1,328.82
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.67 / $689.53 / $1,016.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.34 / $590.71 / $1,283.43