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Washington 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

Facilitymedian $31 · 10th–90th $20–$440%10%10th90th$31Professionalmedian $22 · 10th–90th $16–$420%10%10th90th$22$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $18.20 / $32.36
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $43.65
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.18 / $28.18 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.84 / $53.70
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $28.84 / $42.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $27.54 / $42.66
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $33.88 / $34.67
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.88 / $50.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $33.11 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.18 / $13.18 / $13.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $26.92 / $45.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $21.38 / $38.02