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Iowa 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
$15.52 / $17.39 / $23.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $28.08 / $42.75
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $23.99 / $61.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.17 / $29.78 / $41.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.32 / $29.63 / $124.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.87 / $34.68 / $41.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.65 / $31.95 / $41.54
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.28 / $28.54 / $32.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.17 / $23.52 / $39.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.33 / $30.80 / $37.70