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New Hampshire rates for HCPCS 90965

Esrd Svc Home Dialysis Full Month 12-19 Yr Old

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.43 / $1,346.43 / $1,346.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.50 / $446.75 / $584.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.14 / $582.03 / $816.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.75 / $709.07 / $1,269.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.64 / $825.96 / $1,699.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.96 / $683.79 / $1,532.25
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.74 / $385.81 / $491.04