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New Mexico 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
$409.19 / $487.88 / $596.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.89 / $660.23 / $902.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $769.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$441.67 / $525.63 / $685.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.16 / $740.79 / $1,333.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.59 / $621.49 / $882.52