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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
$15.85 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.88 / $15.85 / $30.20
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.45 / $19.95 / $37.15
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $23.44 / $33.88
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $17.78 / $32.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $16.22 / $28.18