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Tennessee 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
$1,100.69 / $1,100.69 / $1,100.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.47 / $490.04 / $687.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.50 / $557.57 / $966.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.59 / $582.51 / $1,023.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.63 / $1,150.63 / $2,450.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,139.86 / $3,624.69 / $4,041.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.01 / $489.59 / $827.86