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Tennessee 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 / $751.78 / $1,060.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$586.91 / $824.84 / $1,438.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$639.11 / $854.57 / $1,531.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.76 / $1,778.76 / $3,758.63
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,845.55 / $5,409.99 / $6,206.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$548.16 / $714.98 / $1,203.33