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Ohio 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
$381.53 / $481.78 / $596.21
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.04 / $479.36 / $744.43
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$469.97 / $563.96 / $698.03
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.99 / $587.46 / $657.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.81 / $597.70 / $967.77
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.57 / $610.96 / $939.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$406.39 / $525.92 / $748.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.87 / $474.75 / $818.30