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North Carolina 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
$17.50 / $17.50 / $17.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.94 / $17.50 / $21.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.92 / $35.82 / $45.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.02 / $26.24 / $45.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.34 / $20.99 / $29.30
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $23.00 / $42.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $23.31 / $35.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.71 / $20.25 / $34.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $85.69 / $105.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.30 / $162.30 / $162.30