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Massachusetts 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

Facilitymedian $14 · 10th–90th $9–$300%10%10th90th$14Professionalmedian $19 · 10th–90th $14–$460%10%20%10th90th$19$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $14.13 / $14.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $36.31
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $23.44 / $47.86
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $15.14 / $28.18
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.49 / $28.84
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $33.11 / $46.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $23.44 / $123.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $24.55 / $47.86