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New Mexico 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
$482.71 / $531.67 / $639.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $624.92 / $624.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $716.98 / $955.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $374.02 / $471.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.05 / $591.78 / $730.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $716.98 / $955.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.55 / $603.05 / $796.67