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New Jersey 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
$16.00 / $16.00 / $29.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $15.97 / $20.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $19.71 / $34.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $22.12 / $31.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.12 / $17.67 / $30.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.44 / $15.52 / $28.33