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Ohio 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
$905.44 / $905.44 / $905.44
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.30 / $589.55 / $729.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.32 / $594.32 / $594.32
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.32 / $594.32 / $594.32