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Maryland 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
$557.60 / $715.03 / $982.56
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.20 / $880.29 / $1,452.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.79 / $794.64 / $1,456.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$668.88 / $854.21 / $1,220.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.23 / $661.81 / $1,224.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.16 / $823.06 / $1,057.58