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Arizona 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
Professional
Modifier
Low / Median / High Price
$373.19 / $472.36 / $596.74
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.38 / $745.24 / $745.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.70 / $453.37 / $527.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.19 / $516.10 / $956.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.36 / $522.97 / $931.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.05 / $484.76 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.30 / $448.59 / $793.95