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Ohio 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
$14.13 / $15.85 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $16.60 / $26.92
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $17.78 / $20.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.38 / $17.38 / $19.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $26.92 / $27.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $20.42 / $36.31
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $26.92 / $26.92
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $20.42 / $33.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
SummaCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $20.89 / $38.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $16.22 / $27.54