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Michigan 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 $19 · 10th–90th $14–$210%50%10th90th$19Professionalmedian $17 · 10th–90th $14–$250%20%10th90th$17$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.85 / $20.89
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $18.20 / $43.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $17.78 / $38.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $16.98 / $30.20
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $16.98 / $28.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $12.88 / $17.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $16.98 / $25.12