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Nebraska 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
$407.38 / $501.19 / $1,096.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $758.58 / $1,023.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $870.96 / $1,995.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $707.95 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $912.01 / $3,630.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,023.29 / $1,230.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,071.52 / $1,174.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $933.25 / $1,202.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $758.58 / $1,122.02