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Indiana 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
Professional
Modifier
Low / Median / High Price
$395.39 / $480.66 / $584.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.60 / $459.60 / $459.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.97 / $417.36 / $563.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.93 / $551.16 / $643.02
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.30 / $527.04 / $665.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.26 / $548.90 / $870.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.01 / $463.63 / $670.34