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New Hampshire 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
$2,463.83 / $2,463.83 / $2,463.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.73 / $809.55 / $1,184.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.21 / $1,167.06 / $1,629.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$885.86 / $1,331.65 / $2,557.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,103.85 / $1,655.79 / $3,407.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.22 / $1,327.64 / $2,445.05
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.95 / $687.45 / $874.93