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Pennsylvania rates for RC 0804

Inpatient Renal Dialysis-Inpatient Continuous Cycling Peritoneal Dialysis (CCPD)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $446.68 / $602.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $549.54 / $794.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $218.78
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $446.68 / $602.56