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California 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
$602.91 / $671.31 / $671.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.91 / $741.23 / $1,706.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$845.73 / $845.73 / $3,827.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.24 / $863.27 / $1,599.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.26 / $703.04 / $1,579.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.79 / $853.52 / $1,725.67
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.29 / $853.32 / $1,151.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.41 / $861.86 / $1,895.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.76 / $3,462.08 / $3,758.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,845.55 / $5,409.99 / $6,206.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$701.63 / $933.17 / $1,316.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.67 / $959.42 / $1,905.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.79 / $2,093.79 / $2,093.79
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.29 / $689.49 / $948.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.40 / $677.10 / $1,318.37