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Massachusetts 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
$608.58 / $608.58 / $608.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.89 / $704.18 / $933.98
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.76 / $3,758.63 / $3,758.63
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.97 / $1,188.08 / $5,409.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,188.33 / $1,550.88 / $3,951.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.59 / $1,040.30 / $2,152.23
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.86 / $719.60 / $1,339.38
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.76 / $1,756.42 / $2,333.09
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.76 / $3,758.63 / $3,758.63
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.74 / $1,120.59 / $5,409.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.25 / $890.10 / $1,964.26