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Michigan 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
$584.37 / $584.37 / $584.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.47 / $490.27 / $620.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.50 / $740.50 / $740.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.38 / $784.93 / $925.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.49 / $553.41 / $1,278.85
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.65 / $436.65 / $584.37
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.65 / $499.96 / $642.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.65 / $493.83 / $672.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.65 / $516.89 / $754.27