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Georgia 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
$513.28 / $513.28 / $513.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.19 / $491.67 / $640.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.79 / $610.12 / $999.55
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$535.64 / $535.64 / $535.64
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.33 / $457.33 / $457.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.32 / $586.28 / $1,091.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.14 / $629.38 / $2,359.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.73 / $655.73 / $920.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.65 / $516.08 / $896.52