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Rhode Island 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
$602.91 / $662.76 / $795.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,438.46 / $1,588.55 / $1,765.05
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.97 / $868.93 / $902.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,872.80 / $2,872.80 / $2,872.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.01 / $944.49 / $1,845.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.95 / $848.73 / $1,246.93