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Illinois rates for HCPCS 90952

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 2-3 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
$649.26 / $799.74 / $958.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,256.07 / $2,388.78 / $4,177.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.40 / $937.40 / $937.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.62 / $1,030.81 / $1,606.34
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.61 / $865.58 / $1,472.54
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.46 / $691.44 / $727.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.54 / $252.35 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.79 / $642.09 / $1,109.57