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Louisiana 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
$542.65 / $542.65 / $542.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.19 / $515.24 / $682.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.69 / $571.66 / $774.91
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.32 / $510.67 / $510.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.36 / $571.07 / $1,025.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.87 / $437.62 / $757.49