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Massachusetts 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
$428.50 / $428.50 / $428.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.50 / $464.14 / $620.46
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.63 / $2,450.29 / $2,450.29
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.30 / $799.94 / $3,624.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.59 / $701.58 / $1,396.83
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.27 / $473.80 / $888.92
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$609.08 / $1,142.02 / $1,516.97
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.63 / $2,450.29 / $2,450.29
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.06 / $763.58 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.16 / $654.84 / $1,274.56