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Oklahoma 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
$573.54 / $704.18 / $917.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.10 / $1,015.64 / $1,141.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.00 / $858.81 / $1,086.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.48 / $798.00 / $1,244.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.37 / $775.36 / $5,409.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.35 / $693.46 / $1,089.73