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Massachusetts 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
$17.09 / $17.09 / $17.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.62 / $17.44 / $22.75
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $105.00 / $105.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.80 / $29.42 / $162.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.89 / $26.71 / $49.73
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.49 / $17.78 / $31.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.30 / $39.94 / $53.05
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $105.00 / $105.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.41 / $29.59 / $162.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $24.19 / $45.34