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Ohio 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
$585.84 / $741.23 / $917.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.60 / $722.15 / $1,107.83
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.30 / $866.76 / $1,072.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$559.47 / $902.88 / $1,011.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.09 / $889.18 / $1,456.73
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.72 / $917.63 / $1,444.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.26 / $768.43 / $1,096.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.35 / $723.38 / $1,263.46