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New Jersey 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
$464.14 / $464.14 / $871.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.50 / $464.14 / $593.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.60 / $459.60 / $459.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.19 / $584.29 / $1,012.35
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.00 / $658.67 / $949.58
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.71 / $523.11 / $888.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.57 / $476.29 / $851.49