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Wyoming 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
$415.47 / $507.72 / $641.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.00 / $887.00 / $887.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.64 / $691.41 / $1,380.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.85 / $749.36 / $1,492.10