go back

Maryland 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
$13.08 / $16.05 / $21.32
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.45 / $19.35 / $31.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.24 / $18.17 / $32.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.72 / $18.71 / $26.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.98 / $15.72 / $28.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.78 / $18.00 / $23.17