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Vermont 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
$562.34 / $707.95 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $933.25 / $3,162.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $912.01 / $1,737.80