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New Hampshire 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
$61.36 / $61.36 / $61.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.43 / $18.72 / $21.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.82 / $20.52 / $28.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.36 / $28.94 / $47.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.26 / $28.89 / $59.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.61 / $26.05 / $46.53
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.83 / $15.21 / $19.36