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New Jersey 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
$462.82 / $462.82 / $874.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.19 / $462.82 / $596.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.95 / $576.44 / $1,008.38
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.77 / $659.69 / $951.05
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.96 / $511.40 / $858.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.85 / $451.48 / $817.58