go back

Maine 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
$15.20 / $17.45 / $18.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.70 / $19.03 / $31.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.53 / $20.09 / $37.07
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.52 / $27.26 / $47.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.20 / $15.74 / $18.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.76 / $21.45 / $33.88