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Rhode Island 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 / $450.61 / $539.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.85 / $1,034.43 / $1,149.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.14 / $566.28 / $587.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,951.62 / $1,951.62 / $1,951.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$466.76 / $625.10 / $1,253.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.73 / $544.70 / $810.96