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West 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
$372.76 / $480.66 / $638.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.63 / $579.84 / $631.75
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.16 / $531.52 / $561.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$567.86 / $567.86 / $567.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.39 / $561.54 / $1,050.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.33 / $467.96 / $715.58