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Minnesota 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
$536.57 / $536.57 / $536.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.27 / $473.86 / $641.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$907.66 / $907.66 / $1,507.63
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.51 / $1,432.45 / $1,737.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.42 / $1,467.10 / $4,163.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.29 / $1,338.41 / $2,091.92
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$863.31 / $1,373.80 / $3,278.36
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$862.95 / $1,286.94 / $1,890.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.88 / $776.03 / $1,363.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.28 / $911.16 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.10 / $853.37 / $1,588.52