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New Hampshire 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
Facility
Modifier
Low / Median / High Price
$47.86 / $47.86 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $19.95 / $28.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $23.99 / $44.67
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $27.54 / $46.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $24.55 / $45.71
Well Sense
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $17.38 / $21.38