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Minnesota 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
$826.11 / $826.11 / $826.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.60 / $725.58 / $1,076.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.98 / $1,395.98 / $2,320.98
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,186.58 / $2,205.27 / $2,674.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,536.02 / $2,254.82 / $6,399.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.37 / $2,039.93 / $3,214.14
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,326.85 / $2,111.42 / $5,038.59
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,325.88 / $1,977.31 / $2,904.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.77 / $1,192.57 / $2,096.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.44 / $1,289.00 / $5,409.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.44 / $1,243.20 / $2,331.35