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Maine 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
$446.75 / $513.74 / $548.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.72 / $567.76 / $941.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.28 / $593.79 / $1,094.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.64 / $810.67 / $1,413.75
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.75 / $473.86 / $548.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.76 / $617.05 / $999.83