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Pennsylvania 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
$16.39 / $16.39 / $16.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.36 / $16.39 / $20.26
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.05 / $17.70 / $28.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $19.55 / $19.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.55 / $19.30 / $33.04
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.15 / $37.15 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.16 / $23.32 / $34.89
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.67 / $17.00 / $31.38
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.89 / $16.89 / $16.89
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.89 / $25.46 / $34.79
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.55 / $19.55 / $19.55
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.42 / $19.30 / $32.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.88 / $16.88 / $16.88
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.81 / $16.88 / $17.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.53 / $16.86 / $27.53