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Indiana 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
Professional
Modifier
Low / Median / High Price
$715.47 / $970.36 / $1,184.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.07 / $764.25 / $1,054.66
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$922.59 / $1,107.10 / $1,291.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.59 / $1,069.74 / $1,337.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.68 / $1,147.68 / $1,147.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.16 / $1,058.29 / $1,582.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.76 / $854.55 / $1,276.10