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Illinois 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
$678.39 / $678.39 / $678.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.35 / $487.88 / $596.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,322.31 / $1,671.99 / $2,474.73
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.95 / $548.17 / $743.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.87 / $617.49 / $950.36
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.91 / $763.52 / $1,661.69
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.87 / $620.36 / $660.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $747.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.43 / $533.63 / $882.02