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Missouri 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
$16.88 / $18.27 / $23.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.48 / $20.90 / $31.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.32 / $23.13 / $38.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.68 / $24.28 / $42.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.57 / $23.78 / $162.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $21.92 / $35.79