go back

New Hampshire 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
$46.32 / $46.32 / $46.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $15.74 / $19.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.36 / $19.57 / $27.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $23.95 / $43.93
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.52 / $27.78 / $57.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.42 / $22.33 / $42.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.66 / $12.83 / $16.32