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Utah 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
$831.68 / $831.68 / $831.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.16 / $809.38 / $1,112.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.07 / $972.32 / $1,536.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $1,075.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$864.86 / $1,114.56 / $1,344.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.88 / $574.57 / $786.80