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Maine 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
$602.91 / $793.31 / $1,186.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.96 / $868.30 / $1,449.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.06 / $885.40 / $1,689.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.88 / $1,246.82 / $2,174.34
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.91 / $670.80 / $1,186.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.79 / $910.76 / $1,466.84