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Kentucky 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
$759.82 / $759.82 / $774.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.90 / $741.23 / $902.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.80 / $604.49 / $923.36
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$665.18 / $883.58 / $1,148.95
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.04 / $960.42 / $1,422.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.41 / $794.53 / $1,274.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $924.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.41 / $693.46 / $1,193.55