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Indiana 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
$14.13 / $15.85 / $21.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.45 / $21.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.60 / $16.98 / $19.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $14.45 / $14.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $19.95 / $30.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $18.62 / $30.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.02 / $12.02 / $12.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $23.44