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Michigan 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
$342.70 / $342.70 / $342.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.77 / $286.39 / $452.36
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$110.39 / $143.19 / $177.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.60 / $278.08 / $530.55
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.23 / $438.23 / $438.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.39 / $466.71 / $547.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.55 / $345.69 / $414.83
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.54 / $373.34 / $455.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.13 / $311.32 / $747.26
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.31 / $231.31 / $342.70
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.87 / $292.69 / $456.77
Health Alliance Plan
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$126.14 / $165.82 / $201.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.91 / $294.12 / $401.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.11 / $276.67 / $404.83