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Louisiana 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
$1,010.59 / $1,010.59 / $1,010.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.97 / $964.28 / $1,378.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$959.84 / $1,152.60 / $1,446.31
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$938.40 / $1,020.25 / $1,020.25
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
$813.68 / $1,094.69 / $1,922.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.07 / $818.24 / $1,456.91