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Virginia 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 / $16.14 / $20.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $19.12 / $29.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.42 / $19.35 / $35.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.16 / $19.23 / $33.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.15 / $18.35 / $26.15
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.72 / $17.94 / $27.36
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $21.18 / $29.35
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.76 / $18.87 / $30.15
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.76 / $18.87 / $30.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.56 / $16.30 / $25.73