go back

Iowa 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
$691.83 / $691.83 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $851.14 / $1,318.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $870.96 / $1,513.56
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $776.25 / $1,148.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $891.25 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,047.13 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $912.01 / $1,318.26
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $933.25 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,202.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $912.01 / $1,071.52