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Utah 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
$506.05 / $506.05 / $506.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.61 / $496.43 / $699.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.33 / $597.66 / $931.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.09 / $455.85 / $569.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.53 / $698.52 / $837.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.20 / $474.00 / $737.71