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Pennsylvania 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
$960.73 / $960.73 / $960.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.47 / $951.27 / $1,229.16
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$999.61 / $1,037.33 / $1,613.20
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
$814.86 / $1,041.06 / $1,798.90
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,169.48 / $2,169.48 / $2,169.48
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$987.35 / $1,363.01 / $2,039.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.85 / $980.95 / $2,127.14
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.90 / $555.90 / $555.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.90 / $1,378.40 / $2,025.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,147.68 / $1,147.68 / $1,147.68
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.86 / $1,040.24 / $1,798.84
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.86 / $984.86 / $984.86
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.80 / $984.86 / $1,021.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.91 / $872.99 / $1,516.21