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Texas 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
Facility
Modifier
Low / Median / High Price
$358.46 / $472.96 / $567.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.53 / $491.56 / $640.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.90 / $512.03 / $778.06
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$468.32 / $510.67 / $530.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.26 / $569.26 / $569.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.32 / $562.85 / $920.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,154.21 / $2,255.57 / $2,454.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,154.82 / $3,624.69 / $4,047.83
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.99 / $523.25 / $896.87
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.16 / $722.94 / $999.47
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.11 / $614.63 / $967.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$439.11 / $525.63 / $941.01
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.51 / $606.10 / $1,225.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.39 / $471.02 / $717.74
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.43 / $483.19 / $661.91