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Idaho 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
$439.11 / $522.79 / $699.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.09 / $748.40 / $935.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$507.49 / $699.64 / $895.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.66 / $843.43 / $963.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $709.73 / $892.89
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.70 / $693.77 / $829.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.68 / $592.50 / $807.94