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Kansas 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
$1,130.14 / $1,130.14 / $1,130.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.00 / $514.69 / $1,130.14
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.60 / $459.60 / $459.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.86 / $623.36 / $623.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.70 / $596.54 / $922.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.85 / $588.32 / $1,130.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.01 / $630.78 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.28 / $578.79 / $887.38