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New Hampshire 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 / $762.60 / $958.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.39 / $828.88 / $832.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.22 / $1,207.88 / $2,215.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.16 / $1,399.74 / $2,880.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.95 / $781.57 / $1,342.48
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00