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Montana 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $15.63 / $24.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.82 / $26.82 / $26.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.02 / $20.86 / $46.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.23 / $20.56 / $34.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.59 / $34.77 / $45.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.92 / $25.20 / $29.70