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Louisiana 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
$295.12 / $295.12 / $295.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $295.12 / $676.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $302.00 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $363.08
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $478.63 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $323.59 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $239.88 / $407.38