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Nebraska 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 / $471.13 / $687.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.15 / $1,695.15 / $1,695.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.88 / $768.52 / $1,072.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.91 / $1,014.75 / $1,979.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.06 / $730.25 / $997.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.66 / $940.30 / $3,624.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$711.00 / $1,050.77 / $1,229.66
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.47 / $930.78 / $1,174.73
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.62 / $873.97 / $1,000.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.99 / $858.59 / $1,123.65