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Maine rates for HCPCS 90954

Esrd Related Svc Monthly 2-11 Yr Old 4/> Visits

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.97 / $994.27 / $1,540.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.75 / $1,135.91 / $1,893.58
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
$858.17 / $1,116.89 / $2,208.46
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.85 / $1,625.17 / $2,834.16
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$809.55 / $964.28 / $1,100.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.82 / $1,151.29 / $1,911.97