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New York 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 $10 · 10th–90th $8$140%20%10th90th$10Professionalmedian $11 · 10th–90th $7$340%5%10%10th90th$11$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
$7.76 / $10.23 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.00 / $58.88
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.55 / $9.77
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $7.59 / $15.85
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $15.49 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $11.48 / $29.51
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $25.70
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $14.45 / $20.89
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $10.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.72 / $19.95
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $9.12 / $9.12
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $11.48 / $25.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $7.59 / $8.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $14.13 / $81.28
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.76 / $11.22 / $19.95
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $10.00 / $19.95