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New Mexico 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
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $776.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $398.11 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$457.09 / $588.84 / $977.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $660.69 / $1,096.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $645.65 / $912.01