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Florida rates for HCPCS 90967

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of age

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.15 / $14.15 / $14.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $17.50 / $22.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $52.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.61 / $22.71 / $38.07
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.77 / $17.91 / $21.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $18.55 / $28.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $18.41 / $29.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.28 / $13.28 / $17.30