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Kentucky 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
$491.61 / $491.61 / $501.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.11 / $480.66 / $584.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.97 / $411.74 / $626.16
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$431.55 / $573.25 / $745.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.55 / $623.09 / $923.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$410.40 / $539.03 / $878.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $600.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.96 / $477.20 / $872.96