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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
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $16.98 / $24.55
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.05 / $21.88
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $16.98 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $19.05 / $35.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.49 / $26.30