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Virginia 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
$398.11 / $489.78 / $776.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $630.96 / $933.25
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $977.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $602.56 / $851.14
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $741.31
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $602.56 / $912.01
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $549.54 / $891.25
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $549.54 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $512.86 / $831.76