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North Dakota 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
$456.43 / $456.43 / $456.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.43 / $498.70 / $584.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.74 / $1,150.28 / $1,261.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.72 / $996.29 / $1,608.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.43 / $695.03 / $972.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.75 / $772.53 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.39 / $721.47 / $1,026.08