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Minnesota 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
$1,078.88 / $1,078.88 / $1,078.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.53 / $950.38 / $1,389.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,819.60 / $1,819.60 / $3,031.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.66 / $2,880.38 / $3,493.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,002.28 / $2,939.26 / $8,341.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,338.40 / $2,653.56 / $4,180.97
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,729.61 / $2,752.33 / $6,568.04
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,724.71 / $2,572.10 / $3,777.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$939.83 / $1,550.72 / $2,725.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.59 / $1,631.88 / $6,762.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$807.45 / $1,631.88 / $3,062.69