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Louisiana 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
Facility
Modifier
Low / Median / High Price
$866.24 / $866.24 / $866.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.04 / $830.99 / $999.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.87 / $584.54 / $1,029.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.40 / $937.40 / $937.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.20 / $907.73 / $1,611.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.94 / $473.68 / $905.00