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Oklahoma 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
$379.70 / $456.06 / $570.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.60 / $482.60 / $482.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.40 / $660.72 / $756.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.10 / $583.09 / $761.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.77 / $534.66 / $824.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.34 / $533.53 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.02 / $484.26 / $814.08