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West 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
$397.86 / $529.85 / $711.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.94 / $529.01 / $677.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.98 / $601.98 / $601.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.92 / $624.92 / $624.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.91 / $601.98 / $995.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.87 / $446.32 / $754.13