go back

Florida 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
$505.12 / $505.12 / $505.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.66 / $733.62 / $982.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $1,856.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.66 / $845.42 / $1,438.14
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.93 / $621.27 / $886.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.30 / $798.20 / $1,237.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.33 / $653.77 / $1,034.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.92 / $583.92 / $763.76