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Utah 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
$17.80 / $17.80 / $17.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.63 / $16.55 / $24.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.31 / $21.24 / $32.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.35 / $26.62 / $78.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.57 / $23.84 / $29.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.50 / $16.64 / $26.46