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Alaska rates for HCPCS 90958

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 2-3 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
$3,981.07 / $3,981.07 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $501.19 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $724.44 / $1,698.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $691.83 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,659.59 / $3,388.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,995.26 / $2,454.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $741.31 / $1,174.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $588.84 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $1,202.26 / $2,884.03