go back

Washington, DC rates for HCPCS 90957

Esrd Related Svc Monthly 12-19 Yr Old 4/> Visits

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$715.03 / $715.03 / $715.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.58 / $715.03 / $795.14
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.29 / $880.29 / $1,170.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.11 / $777.06 / $3,198.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.50 / $813.53 / $1,696.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.97 / $620.72 / $1,816.03