go back

West 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 / $17.07 / $22.65
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.55 / $20.28 / $22.10
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $18.59 / $19.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.97 / $19.97 / $19.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $21.24 / $37.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.98 / $19.36 / $30.12