go back

New Hampshire rates for HCPCS 90957

Esrd Related Svc Monthly 12-19 Yr Old 4/> Visits

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.94 / $1,982.94 / $1,982.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.89 / $647.98 / $902.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.70 / $895.36 / $1,250.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$711.01 / $1,070.51 / $1,956.24
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$846.88 / $1,270.32 / $2,613.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.06 / $967.98 / $1,897.91
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$496.14 / $545.75 / $694.60