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Kentucky 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
$493.14 / $493.14 / $502.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.35 / $481.78 / $586.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.43 / $407.57 / $616.38
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.61 / $574.65 / $747.23
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.81 / $605.65 / $925.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.16 / $529.69 / $845.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $601.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.11 / $471.02 / $823.80