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Connecticut 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
$1,253.55 / $1,253.55 / $1,253.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.19 / $495.67 / $827.08
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.57 / $744.52 / $1,063.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.85 / $625.10 / $1,286.08
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$539.71 / $678.69 / $1,018.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.60 / $561.13 / $1,195.38