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Louisiana 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
$18.82 / $18.82 / $18.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.17 / $17.51 / $23.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.68 / $19.25 / $27.07
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $17.10 / $17.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.61 / $19.16 / $34.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $15.19 / $26.28