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Georgia 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
$511.70 / $511.70 / $511.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.50 / $496.41 / $641.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.36 / $620.35 / $998.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.85 / $540.85 / $540.85
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.24 / $456.24 / $456.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.59 / $603.58 / $1,089.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.17 / $628.12 / $3,283.50
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.74 / $657.60 / $936.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.66 / $541.09 / $919.60