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Texas 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
$12.58 / $16.60 / $19.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.96 / $17.80 / $22.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.63 / $20.32 / $29.10
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.35 / $18.09 / $18.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.04 / $22.33 / $36.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.47 / $85.69 / $105.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.30 / $162.30 / $162.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.14 / $19.84 / $37.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.50 / $24.39 / $31.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.87 / $21.94 / $34.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.32 / $20.05 / $38.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.34 / $24.42 / $43.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.43 / $19.32 / $30.24
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.36 / $16.87 / $23.11