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Louisiana 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
Facility
Modifier
Low / Median / High Price
$577.60 / $577.60 / $577.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.71 / $554.11 / $666.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.95 / $415.23 / $572.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $624.92 / $624.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.81 / $609.00 / $1,073.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.32 / $384.32 / $631.41