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Montana 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
$188.95 / $282.85 / $407.30
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$94.48 / $119.75 / $203.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.50 / $458.50 / $458.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.50 / $458.50 / $458.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.98 / $361.75 / $789.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.24 / $308.77 / $581.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.52 / $544.12 / $778.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.38 / $388.59 / $453.60