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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

Facilitymedian $603 · 10th–90th $468–$1,0470%10%20%10th90th$603Professionalmedian $501 · 10th–90th $407–$7940%20%10th90th$501$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$562.34 / $562.34 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $501.19 / $645.65
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $537.03 / $794.33
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $512.86 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $562.34 / $933.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,162.28 / $3,162.28 / $3,162.28
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,630.78 / $4,073.80 / $4,073.80
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $1,000.00
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $524.81 / $912.01
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $407.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$489.78 / $870.96 / $1,230.27
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$467.74 / $602.56 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$426.58 / $575.44 / $1,122.02
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $524.81 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $489.78 / $758.58
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $501.19 / $630.96