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Kentucky 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
$17.39 / $17.39 / $17.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $16.98 / $20.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.67 / $18.44 / $25.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.11 / $20.07 / $26.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $21.83 / $26.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.39 / $21.80 / $34.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.03 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $19.32 / $33.86