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New Mexico 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
$604.79 / $751.78 / $918.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.35 / $573.67 / $1,116.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.63 / $980.09 / $1,390.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $1,183.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.88 / $798.69 / $1,052.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.17 / $1,136.91 / $2,042.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.36 / $912.38 / $1,287.85