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Alaska rates for HCPCS 90957

End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more 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
$6,110.37 / $6,110.37 / $6,110.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.91 / $804.19 / $1,745.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$718.82 / $986.61 / $2,588.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.48 / $1,745.82 / $2,604.52
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,849.40 / $2,382.03 / $5,518.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.23 / $2,858.75 / $4,024.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.48 / $1,745.82 / $2,604.52
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$893.08 / $2,136.30 / $3,638.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.90 / $1,888.98 / $4,981.10