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Maine 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
$18.18 / $18.98 / $23.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.80 / $20.52 / $33.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.85 / $23.03 / $39.13
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $28.34 / $49.43
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.18 / $18.72 / $23.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $25.37 / $37.04