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Michigan 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
$588.84 / $588.84 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $741.31 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $549.54 / $1,258.93
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $524.81 / $1,122.02
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $691.83
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $512.86 / $1,122.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $380.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $724.44