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Pennsylvania 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
$524.16 / $524.16 / $524.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.24 / $524.57 / $610.63
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.20 / $361.42 / $533.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $624.92 / $624.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.18 / $610.72 / $1,042.43
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.63 / $517.63 / $601.91
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.99 / $535.20 / $666.47
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.00 / $365.00 / $365.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.70 / $365.00 / $449.90
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $624.92 / $624.92
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.39 / $607.99 / $1,042.43
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.54 / $340.54 / $340.54
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.54 / $353.95 / $413.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.14 / $406.78 / $623.19