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South 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
Professional
Modifier
Low / Median / High Price
$697.73 / $986.37 / $1,249.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.00 / $672.62 / $1,125.02
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
$799.34 / $1,071.45 / $1,963.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$838.12 / $919.56 / $1,539.89
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$617.54 / $910.63 / $1,926.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.69 / $1,130.35 / $1,799.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$666.07 / $800.21 / $1,383.81