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Illinois 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
$709.98 / $709.98 / $709.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,382.88 / $1,735.40 / $2,588.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.32 / $594.32 / $594.32
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.39 / $797.66 / $1,246.34
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00