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Tennessee 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 / $491.56 / $689.35
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.86 / $544.47 / $957.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.25 / $566.65 / $1,014.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.21 / $1,154.21 / $2,454.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,154.82 / $3,624.69 / $4,047.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.30 / $482.70 / $846.91