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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
$602.91 / $608.95 / $1,186.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.72 / $968.42 / $3,198.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.10 / $902.81 / $2,762.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.11 / $912.73 / $2,645.92