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Montana 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
$392.58 / $489.44 / $579.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$878.61 / $878.61 / $878.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.42 / $721.38 / $1,530.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.33 / $613.42 / $1,141.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.67 / $746.82 / $899.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.85 / $650.16 / $855.68