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Utah 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
$271.24 / $271.24 / $271.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.58 / $277.89 / $442.07
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$122.06 / $135.62 / $203.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.45 / $337.28 / $546.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.51 / $282.19 / $342.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.58 / $368.02 / $456.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.87 / $264.02 / $408.51