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Rhode Island 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 / $15.67 / $20.87
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.72 / $34.86 / $38.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $19.01 / $24.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.06 / $68.06 / $68.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.14 / $21.61 / $43.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.57 / $18.84 / $27.50