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Montana 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
$254.09 / $319.73 / $480.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.15 / $543.15 / $543.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.62 / $427.88 / $935.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.81 / $409.25 / $686.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.31 / $704.49 / $917.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.25 / $513.00 / $594.00