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Indiana 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
Professional
Modifier
Low / Median / High Price
$220.77 / $282.17 / $460.66
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$111.47 / $141.09 / $171.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.56 / $272.42 / $407.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.64 / $221.05 / $332.41
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.57 / $353.04 / $407.36
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.57 / $325.88 / $407.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.08 / $333.08 / $333.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.55 / $306.52 / $486.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.79 / $244.44 / $360.45