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Indiana 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
$585.84 / $741.23 / $918.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.80 / $613.38 / $846.46
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.22 / $848.66 / $990.11
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.22 / $811.53 / $1,025.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.32 / $828.32 / $1,274.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.76 / $676.88 / $969.33