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Illinois 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
$1,001.45 / $1,001.45 / $1,001.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.19 / $751.78 / $1,136.99
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,955.27 / $2,574.96 / $3,651.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.68 / $860.01 / $1,142.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.72 / $935.76 / $1,459.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$806.89 / $1,173.66 / $2,648.10
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$922.49 / $953.60 / $1,014.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,147.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.40 / $799.89 / $1,295.26