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North Carolina 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
$1,005.14 / $1,005.14 / $1,005.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.91 / $970.36 / $1,389.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$957.87 / $1,594.75 / $2,043.18
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
$844.74 / $1,206.48 / $2,061.26
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$846.57 / $919.56 / $1,407.20
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.54 / $1,022.00 / $1,926.92
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$580.90 / $1,337.36 / $2,025.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.35 / $889.66 / $1,660.61
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,333.66 / $4,877.02 / $4,877.02
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,334.07 / $6,762.49 / $8,081.70