go back

Louisiana 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
$22.29 / $22.29 / $22.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.05 / $19.80 / $28.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.75 / $20.55 / $32.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $18.09 / $18.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.48 / $21.40 / $39.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.61 / $18.41 / $31.47