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Louisiana 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
$564.15 / $564.15 / $564.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.47 / $516.63 / $709.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$502.61 / $570.28 / $806.03
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.31 / $508.02 / $508.02
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 / $569.88 / $1,036.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.02 / $454.96 / $796.18