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Alaska rates for HCPCS 90954

End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,039.40 / $8,039.40 / $8,039.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.97 / $1,052.78 / $2,296.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$940.45 / $1,246.83 / $3,403.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.73 / $2,296.96 / $3,290.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.63 / $3,104.89 / $7,252.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,844.33 / $3,726.25 / $4,851.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$960.73 / $2,296.96 / $3,290.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.69 / $2,681.12 / $4,485.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.43 / $2,269.62 / $5,390.35