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Pennsylvania 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

Facilitymedian $1,148 · 10th–90th $741–$2,6300%20%40%10th90th$1,148Professionalmedian $1,148 · 10th–90th $891–$1,8200%20%10th90th$1,148$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,148.15 / $1,548.82
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,202.26 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $1,230.27 / $2,137.96
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,621.81 / $2,454.71
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,000.00 / $1,288.25 / $1,995.26
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,148.15 / $1,513.56
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $741.31 / $741.31
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$741.31 / $1,737.80 / $2,238.72
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,148.15 / $1,148.15 / $1,148.15
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,148.15 / $1,202.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,047.13 / $1,862.09