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Michigan 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
$958.64 / $958.64 / $958.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.04 / $827.85 / $988.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$784.55 / $784.55 / $784.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.32 / $839.47 / $980.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.85 / $902.88 / $2,046.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.07 / $710.07 / $958.64
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.07 / $787.69 / $1,052.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $462.56 / $693.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$452.88 / $587.69 / $937.50