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Oklahoma 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
$380.19 / $489.78 / $741.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $616.60 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $575.44 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $537.03 / $954.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $524.81 / $3,630.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $467.74 / $724.44