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Texas 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
$372.58 / $491.60 / $593.26
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.70 / $529.87 / $550.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.32 / $594.32 / $594.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,207.68 / $2,358.53 / $2,568.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$448.61 / $546.96 / $935.99
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.08 / $547.54 / $986.02