go back

Maine 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
$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