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Utah 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
$549.54 / $549.54 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $630.96 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $724.44
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $741.31 / $912.01
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $645.65
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $707.95 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $457.09 / $660.69