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Pennsylvania 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
$733.48 / $733.48 / $733.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.84 / $733.48 / $952.53
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$765.53 / $794.42 / $1,231.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.00 / $828.32 / $1,438.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.01 / $1,666.01 / $1,666.01
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$762.17 / $1,044.96 / $1,563.83
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.55 / $912.55 / $912.55
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.79 / $756.78 / $2,004.56
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.70 / $479.70 / $479.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.70 / $1,099.80 / $1,551.70
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.00 / $830.53 / $1,438.52
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$751.61 / $751.61 / $751.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.71 / $751.61 / $781.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.76 / $692.77 / $1,136.58