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North Carolina 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
$15.85 / $15.85 / $15.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $15.85 / $26.30
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $27.54 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $22.39 / $38.02
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.49 / $19.95 / $30.90
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $25.12 / $33.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $16.60 / $28.84
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $134.90