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Idaho 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
$602.91 / $811.52 / $1,501.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.69 / $1,146.38 / $1,411.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.21 / $1,076.08 / $1,377.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.59 / $1,294.58 / $1,479.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $1,090.49 / $1,371.90
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.02 / $1,065.90 / $1,277.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$690.05 / $877.49 / $1,226.09