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Nebraska 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
$608.95 / $726.63 / $1,060.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,695.15 / $1,695.15 / $1,695.15
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.77 / $1,185.31 / $1,651.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$804.77 / $1,492.43 / $3,041.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$706.97 / $1,116.43 / $1,521.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.22 / $1,342.14 / $5,409.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,046.00 / $1,492.43 / $1,894.50
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.30 / $1,328.55 / $1,809.28
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.14 / $1,349.71 / $1,545.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.96 / $1,216.16 / $1,733.01