go back

Montana rates for HCPCS 90951

End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.28 / $938.05 / $1,638.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.63 / $1,826.63 / $1,826.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$964.42 / $1,287.45 / $2,815.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,094.41 / $1,323.51 / $2,300.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.29 / $2,127.96 / $3,120.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.39 / $1,569.39 / $1,862.00