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Massachusetts 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 $8 · 10th–90th $5–$170%10%20%10th90th$8Professionalmedian $12 · 10th–90th $7–$320%5%10%10th90th$12$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
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $67.61
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $18.62 / $23.99
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $12.88 / $25.70
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.13 / $8.71 / $16.60
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.13 / $8.91 / $16.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.23 / $19.05 / $27.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $64.57
Tufts
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.75 / $10.00 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $13.80 / $28.18