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Idaho 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
Professional
Modifier
Low / Median / High Price
$16.89 / $21.72 / $24.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $27.03 / $35.04
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.82 / $26.96 / $36.29
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.75 / $29.44 / $33.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.85 / $28.05 / $32.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.66 / $24.31 / $29.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.32 / $24.56 / $32.59