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Montana 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

Facilitymedian $30 · 10th–90th $21–$360%20%40%10th90th$30Professionalmedian $18 · 10th–90th $16–$400%20%10th90th$18$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $30.90
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $25.12 / $52.48
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $30.20 / $33.11
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $30.20 / $33.11
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $26.92 / $45.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $37.15 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $29.51 / $35.48