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Utah 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
$935.26 / $935.26 / $935.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$753.85 / $935.26 / $1,410.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$840.18 / $1,145.08 / $1,873.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$719.40 / $929.15 / $1,140.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,026.51 / $1,392.22 / $1,558.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.17 / $920.40 / $1,392.05