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Utah 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
$747.63 / $747.63 / $747.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.79 / $741.23 / $1,482.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.72 / $904.51 / $1,430.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$526.58 / $676.33 / $835.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.92 / $1,065.90 / $1,238.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.29 / $736.19 / $1,100.35