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Washington, DC 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
$15.80 / $15.80 / $15.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.38 / $15.80 / $17.50
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.35 / $19.35 / $25.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $18.25 / $70.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $17.82 / $37.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.54 / $13.97 / $40.74