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Montana 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
$651.28 / $814.19 / $1,540.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.83 / $1,565.83 / $1,565.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$839.79 / $1,109.21 / $2,413.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.39 / $1,090.61 / $1,541.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,045.89 / $1,846.61 / $2,681.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.29 / $1,334.58 / $1,665.18