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South Carolina 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 / $546.11 / $561.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$441.31 / $646.00 / $917.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $624.92 / $624.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.70 / $610.33 / $1,158.63
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.06 / $533.66 / $803.82
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.51 / $523.14 / $523.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $507.51 / $573.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.68 / $408.47 / $697.52