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Vermont 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 / $428.87 / $2,385.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.59 / $658.16 / $2,081.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.74 / $630.50 / $1,792.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.42 / $643.09 / $1,869.51