go back

New Mexico 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
Professional
Modifier
Low / Median / High Price
$14.17 / $16.52 / $20.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $13.40 / $24.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $22.36 / $29.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.81 / $17.91 / $23.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.92 / $25.02 / $44.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.91 / $21.51 / $30.26