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Massachusetts 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 $813 · 10th–90th $525–$1,6980%10%20%10th90th$813Professionalmedian $1,072 · 10th–90th $759–$2,6920%10%10th90th$1,072$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
$776.25 / $776.25 / $776.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $977.24 / $2,290.87
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,318.26 / $6,760.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,288.25 / $2,754.23
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $891.25 / $1,659.59
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $891.25 / $1,698.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,071.52 / $1,949.84 / $2,818.38
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$812.83 / $1,318.26 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,380.38 / $2,884.03