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Texas 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
$356.71 / $470.66 / $566.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.50 / $490.04 / $638.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.60 / $459.60 / $482.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.56 / $498.52 / $777.86
Baylor Scott & White
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.66 / $795.66 / $795.66
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.31 / $508.02 / $527.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.73 / $572.29 / $924.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,150.63 / $2,251.03 / $2,450.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,139.86 / $3,624.69 / $4,041.08
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.26 / $527.54 / $920.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.09 / $697.44 / $894.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.20 / $617.75 / $968.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.89 / $530.01 / $978.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.97 / $618.19 / $1,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.92 / $485.50 / $739.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.67 / $482.20 / $660.45