go back

Indiana rates for HCPCS 90956

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 1 face-to-face visit by a physician or other qualified health care professional per month

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $446.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $295.12 / $446.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $354.81 / $398.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $407.38 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $389.05 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $331.13 / $489.78