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South Carolina 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
$373.19 / $498.83 / $564.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.49 / $471.37 / $698.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.01 / $573.12 / $1,050.75
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.75 / $497.95 / $811.24
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.02 / $493.01 / $1,039.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.65 / $562.29 / $886.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.87 / $429.66 / $695.29