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Oklahoma 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
$14.40 / $16.88 / $20.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $22.68 / $30.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.07 / $20.26 / $33.06
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $21.54 / $162.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.99 / $19.32 / $30.38