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Idaho rates for HCPCS 90953

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 1 face-to-face visit by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.44 / $583.39 / $751.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.16 / $790.79 / $1,007.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.38 / $760.86 / $961.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$664.01 / $781.19 / $866.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.87 / $542.55 / $733.78