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New Hampshire 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
$432.84 / $508.32 / $639.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.80 / $551.61 / $555.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.34 / $804.49 / $1,476.78
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.10 / $933.15 / $1,920.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.55 / $628.95 / $1,090.70
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00