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Virginia 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
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.32 / $594.32 / $594.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$471.89 / $571.83 / $782.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$476.51 / $551.76 / $831.04
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.80 / $576.23 / $924.74