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Maine 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
$691.83 / $912.01 / $1,380.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,202.26 / $2,041.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,621.81 / $1,621.81 / $1,621.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,148.15 / $2,344.23
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,089.30 / $3,388.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $1,071.52 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,202.26 / $2,137.96