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Virginia 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
$451.75 / $524.57 / $639.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.91 / $537.37 / $756.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.17 / $381.30 / $703.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $624.92 / $624.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.63 / $627.76 / $1,113.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.29 / $623.88 / $894.54
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.06 / $561.99 / $871.35
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.26 / $835.07 / $1,009.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.96 / $612.39 / $986.99
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.96 / $612.39 / $986.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.98 / $435.08 / $733.85