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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

Facilitymedian $30 · 10th–90th $16–$300%50%10th$30Professionalmedian $17 · 10th–90th $13–$280%10%20%10th90th$17$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $29.51 / $29.51
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.85 / $23.99
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.95 / $38.02
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $23.99 / $36.31
Horizon BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.60 / $31.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.98 / $31.62