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Nebraska 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
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.15 / $1,695.15 / $1,695.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$482.17 / $762.83 / $1,033.35
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.00 / $1,060.19 / $1,285.41