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Wyoming 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 / $17.19 / $21.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.00 / $314.00 / $314.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $30.00 / $30.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.40 / $23.30 / $46.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.64 / $24.94 / $49.66