go back

Maine rates for HCPCS 90958

Esrd Related Svc Monthly 12-19 Yr Old 2/3 Visits

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.18 / $515.24 / $539.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $564.91 / $943.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$477.55 / $595.54 / $1,099.66
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.75 / $812.31 / $1,416.61
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.18 / $455.89 / $539.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.73 / $614.17 / $961.91