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Connecticut 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
$1,923.46 / $1,923.46 / $1,923.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.89 / $760.75 / $1,219.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.49 / $1,132.75 / $1,569.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.72 / $925.71 / $1,974.59
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.59 / $1,028.16 / $1,563.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.82 / $845.79 / $1,835.33