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Minnesota 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
$18.23 / $18.23 / $18.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.20 / $16.22 / $21.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.52 / $30.52 / $793.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.94 / $48.37 / $58.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.79 / $49.61 / $140.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.38 / $45.10 / $70.50
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.19 / $46.46 / $110.86
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.08 / $43.37 / $63.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.84 / $26.20 / $46.60
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.52 / $30.06 / $124.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.22 / $28.56 / $55.30