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Tennessee 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
$43.61 / $43.61 / $43.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.44 / $18.17 / $24.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.30 / $22.56 / $35.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.84 / $23.25 / $39.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $40.47 / $105.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.30 / $162.30 / $162.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.65 / $20.25 / $34.67