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Iowa rates for HCPCS 90970

End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and older

Facilitymedian $13 · 10th–90th $9–$210%10%10th90th$13Professionalmedian $10 · 10th–90th $7–$230%10%10th90th$10$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.00 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $15.85 / $25.12
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $21.88 / $28.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $13.18 / $21.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $14.79 / $64.57
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $19.05 / $25.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $15.49 / $25.12
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $17.78 / $22.91
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $7.76 / $7.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.59 / $21.38
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $17.78 / $20.89