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New York 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
$562.34 / $562.34 / $588.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $1,047.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $851.14
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $616.60 / $1,584.89
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $398.11 / $1,318.26
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $724.44 / $1,023.29
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $467.74 / $537.03
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $549.54 / $1,047.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $616.60 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $977.24
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $467.74 / $1,096.48
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $1,071.52