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New York 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 $20 · 10th–90th $14$280%50%10th90th$20Professionalmedian $18 · 10th–90th $13$460%10%10th90th$18$10.0$20.0$50.0$100.0$200.0

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
$19.95 / $19.95 / $20.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $16.98 / $30.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $13.80 / $30.20
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.88 / $53.70
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $40.74
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $25.12 / $37.15
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $18.62
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.18 / $18.62 / $36.31
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $22.39 / $45.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $25.70 / $81.28
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $21.88 / $38.90
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $18.62 / $40.74