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Utah rates for HCPCS 90956

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 1 face-to-face visit by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.26 / $362.26 / $362.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.36 / $340.61 / $480.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.25 / $423.75 / $647.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.77 / $314.53 / $381.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.08 / $482.93 / $610.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.55 / $338.55 / $537.12