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Oklahoma 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
$12.21 / $15.67 / $19.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.45 / $19.67 / $22.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.97 / $19.27 / $25.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.90 / $17.82 / $28.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.19 / $17.63 / $124.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.42 / $16.14 / $23.79