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New Hampshire 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
$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