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Missouri 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
$15.44 / $17.50 / $22.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.90 / $17.30 / $26.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.89 / $20.21 / $33.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.74 / $21.96 / $40.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.84 / $19.93 / $124.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $17.57 / $30.13