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Georgia 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
$18.14 / $18.14 / $18.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $18.14 / $22.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $25.10 / $41.01
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.25 / $24.25 / $24.25
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.96 / $15.96 / $15.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.09 / $24.40 / $41.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $21.96 / $113.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $23.65 / $33.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.27 / $22.25 / $35.17