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Louisiana 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
$800.70 / $800.70 / $800.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.91 / $789.74 / $1,092.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.47 / $879.85 / $1,143.98
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$719.23 / $785.03 / $785.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.44 / $857.95 / $1,521.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.35 / $658.07 / $1,117.71