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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
$295.12 / $363.08 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $1,023.29
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $588.84 / $630.96
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $588.84 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $467.74 / $776.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $537.03 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $602.56