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Kentucky 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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $14.13 / $19.95
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $17.78 / $25.12
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $19.50 / $24.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.62 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $20.89 / $77.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.22 / $28.18