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Pennsylvania rates for HCPCS 90955

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 2-3 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
$495.65 / $495.65 / $495.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.32 / $594.32 / $594.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.41 / $1,135.41 / $1,135.41
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.30 / $316.30 / $316.30
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.32 / $594.32 / $594.32
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.89 / $507.89 / $507.89