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New York 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
$13.08 / $18.17 / $30.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.08 / $16.14 / $22.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.38 / $14.13 / $29.56
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.93 / $23.93 / $23.93
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $23.93 / $23.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.34 / $21.29 / $47.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $25.99 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.59 / $22.56 / $35.57
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.75 / $15.75 / $18.05
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $21.11 / $35.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $20.42 / $41.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.56 / $16.64 / $34.54
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.75 / $18.05 / $37.68
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.02 / $21.11 / $42.39