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Oregon 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
$428.50 / $536.57 / $1,110.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.48 / $864.31 / $1,298.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.07 / $1,037.56 / $1,252.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.55 / $766.13 / $1,174.73
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$680.88 / $817.68 / $1,226.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.67 / $859.61 / $992.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.04 / $786.18 / $1,262.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.99 / $1,007.05 / $1,303.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$805.04 / $1,051.77 / $1,347.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.80 / $870.04 / $1,335.42