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California 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

Facilitymedian $1,230 · 10th–90th $977–$2,1880%10%20%10th90th$1,230Professionalmedian $1,072 · 10th–90th $759–$2,8840%10%10th90th$1,072$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$831.76 / $831.76 / $831.76
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$758.58 / $1,023.29 / $3,162.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,230.27 / $5,370.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $1,122.02 / $2,187.76
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,148.15 / $2,187.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,071.52 / $2,137.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,202.26 / $1,621.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$954.99 / $1,202.26 / $2,951.21
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $8,128.31 / $8,128.31
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $1,445.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$851.14 / $1,258.93 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,096.48 / $2,454.71
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $2,630.27
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $1,000.00 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $891.25 / $1,905.46