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Rhode Island 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
$415.47 / $455.45 / $548.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.91 / $1,032.36 / $1,147.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.33 / $565.16 / $687.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,029.12 / $2,029.12 / $2,029.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.32 / $627.29 / $1,300.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.65 / $552.17 / $808.87