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Idaho 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
$15.15 / $17.60 / $23.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.71 / $25.26 / $31.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.60 / $23.58 / $30.18
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.66 / $28.30 / $32.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.84 / $26.92 / $32.34
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.87 / $23.38 / $28.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $20.64 / $31.04