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Missouri 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
$428.87 / $514.69 / $655.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.77 / $464.77 / $464.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.12 / $508.39 / $780.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.89 / $596.29 / $999.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.09 / $639.58 / $1,185.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.16 / $605.98 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.37 / $527.79 / $948.00