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West Virginia 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
$548.66 / $741.23 / $982.56
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.35 / $894.14 / $974.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.29 / $819.63 / $865.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$876.11 / $876.11 / $876.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.38 / $853.69 / $1,498.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.83 / $705.75 / $1,050.18