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Connecticut 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
$41.72 / $41.72 / $41.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $16.77 / $27.35
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $25.32 / $36.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $21.61 / $44.81
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.46 / $23.77 / $34.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.19 / $20.48 / $42.43