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Maryland 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
$705.53 / $932.81 / $1,114.08
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.93 / $1,147.70 / $1,893.70
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
$784.87 / $1,001.04 / $1,733.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.46 / $1,111.45 / $1,515.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.16 / $862.43 / $1,717.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.10 / $1,072.60 / $1,374.43