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Arizona rates for HCPCS 90969

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of age

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.98 / $25.12
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $25.70 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.98 / $25.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $17.78 / $33.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $18.20 / $31.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $17.78 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $11.75 / $11.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $15.85 / $27.54