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Massachusetts rates for HCPCS 90968

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 2-11 years of age

Facilitymedian $14 · 10th–90th $9–$300%10%20%10th90th$14Professionalmedian $19 · 10th–90th $14–$470%10%20%10th90th$19$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
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $37.15
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $23.99 / $48.98
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $15.49 / $28.84
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $15.85 / $29.51
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $33.88 / $47.86
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $134.90
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $48.98