go back

Pennsylvania 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
$786.24 / $786.24 / $786.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.36 / $787.69 / $915.96
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.94 / $508.17 / $750.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.40 / $937.40 / $937.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$745.77 / $916.07 / $1,563.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.43 / $722.43 / $902.86
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.48 / $802.79 / $999.67
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.60 / $547.60 / $547.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.60 / $547.60 / $675.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.40 / $937.40 / $937.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.07 / $911.13 / $1,562.80
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.81 / $478.81 / $478.81
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.81 / $480.85 / $581.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.63 / $542.29 / $876.22