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Illinois 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
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $912.01
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,659.59 / $2,570.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $562.34 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $977.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,202.26 / $1,659.59
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $616.60 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $831.76