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West 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
$12.64 / $16.22 / $21.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.80 / $19.48 / $21.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.76 / $17.85 / $18.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.16 / $19.16 / $19.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.74 / $18.86 / $32.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.95 / $16.51 / $23.43