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Virginia 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
$15.96 / $17.50 / $20.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.98 / $20.36 / $30.65
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.07 / $20.07 / $37.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $22.49 / $37.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.73 / $19.10 / $28.18
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.41 / $21.89 / $32.38
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $25.00 / $34.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.05 / $22.78 / $34.02
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.05 / $22.78 / $34.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $20.12 / $30.77