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Massachusetts 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
$411.58 / $411.58 / $411.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.19 / $462.82 / $596.21
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.21 / $2,454.17 / $2,454.17
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.85 / $799.80 / $3,624.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.76 / $696.49 / $1,400.28
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.77 / $474.69 / $890.60
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$610.29 / $1,144.31 / $1,520.01
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.21 / $2,454.17 / $2,454.17
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.61 / $735.65 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.73 / $605.91 / $1,271.01