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Missouri 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
$411.96 / $516.30 / $657.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.12 / $492.78 / $774.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.94 / $587.07 / $975.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.40 / $634.32 / $1,188.88
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.90 / $593.98 / $3,624.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.30 / $512.01 / $869.66