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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
$16.98 / $16.98 / $16.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $20.89 / $32.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $23.44 / $33.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $22.39 / $29.51
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $23.44 / $34.67
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $17.38 / $26.92