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California 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
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $48.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $23.44 / $100.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $21.38 / $40.74
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $20.89 / $40.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $19.95 / $39.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.62 / $26.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $20.42 / $51.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $134.90 / $134.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $21.88 / $33.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.49 / $20.42 / $42.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $48.98 / $48.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $18.62 / $23.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $16.22 / $32.36