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Washington 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
$1,112.23 / $1,112.23 / $1,112.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$649.26 / $817.48 / $1,112.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.87 / $3,814.81 / $3,814.81
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.88 / $1,729.50 / $7,218.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.93 / $1,285.08 / $2,547.15
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$703.39 / $1,247.95 / $1,807.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.89 / $1,155.36 / $1,866.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,155.97 / $1,651.39 / $1,681.03
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.39 / $1,879.99 / $2,351.69
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,155.92 / $1,626.30 / $2,018.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.68 / $761.26 / $1,260.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$828.88 / $828.88 / $828.88