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Illinois rates for HCPCS 90966

End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.72 / $367.72 / $367.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.77 / $293.12 / $517.51
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$102.50 / $142.59 / $171.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.71 / $276.55 / $348.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$695.62 / $980.04 / $1,344.52
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.52 / $329.85 / $436.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.08 / $333.08 / $333.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.50 / $353.15 / $552.12
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.93 / $438.39 / $757.14
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.16 / $364.61 / $389.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $439.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.71 / $295.89 / $478.85