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Arizona 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
Professional
Modifier
Low / Median / High Price
$551.89 / $726.63 / $1,076.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$649.54 / $1,104.21 / $1,104.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.90 / $695.88 / $808.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.88 / $786.57 / $1,437.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.26 / $802.93 / $1,412.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.22 / $719.55 / $5,409.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.82 / $666.90 / $1,188.14