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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
$13.28 / $16.22 / $19.85
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.76 / $15.76 / $15.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $14.32 / $19.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.46 / $18.55 / $21.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.46 / $17.85 / $22.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.66 / $18.72 / $28.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.58 / $23.87