go back

Indiana 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
$381.53 / $481.78 / $586.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.43 / $413.79 / $558.61
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.88 / $552.44 / $644.52
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.37 / $506.41 / $667.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.12 / $547.69 / $853.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.33 / $456.25 / $648.00